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1013334887
VITAL HEALTH, LLC
EUGENE, OR
NPI
1013334887
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Entity Type
Organization
Authorized Contact
JEANETTE WELKER
Organizer
541-726-1155
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2014-03-18
Last Update Date
2014-03-18
Business Address
VITAL HEALTH, LLC
1200 EXECUTIVE PKWY SUITE 360
EUGENE, OR 97401-2114
Phone number: 541-762-1155
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Mailing Address
VITAL HEALTH, LLC
1200 EXECUTIVE PKWY SUITE 360
EUGENE, OR 97401-2114
Phone number: 541-762-1155
Copy
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