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Updated 7/5/23

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nameBuilding the Business Case Applications as of 7-5-23.xlsx

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Organizational Information - Organization Name

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Organizational Information - Doing Business as (if applicable)

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Organizational Information - Mailing Address

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Organizational Information - City

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Organizational Information - State

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Lewis County Primary Care Center, Inc.

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PrimaryPlus

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211 KY 59

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Vanceburg

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KY

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Northeast Valley Health Corporation

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Northeast Valley Health Corporation

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1172 N. Maclay Ave. San Fernando, CA 91340

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San Fernando

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CA

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Park Duvalle Community Health Center

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Park Duvalle Community Health Center

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3015 Wilson Ave.

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Louisville

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KENTUCKY

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Holyoke Health Center

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230 Maple Street

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Holyoke

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MA

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Peak Vista Community Health Centers

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other (please see vendor information form)

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3205 N. Academy Blvd.

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Colorado Springs

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CO