VITALITY PRIMARY CARE LLC

SALLISAW, OK
NPI1023546660
Entity TypeOrganization
Authorized ContactNIKO KOLIASTASIS
CEO
918-636-3930
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2017-05-26
Last Update Date2017-05-26
Business Address
VITALITY PRIMARY CARE LLC
209 N OAK ST
SALLISAW, OK 74955-4639
Phone number: 918-636-3930
Mailing Address
VITALITY PRIMARY CARE LLC
209 N OAK ST
SALLISAW, OK 74955-4639
Phone number: 918-636-3930
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