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1063089266
VITALITY HEALTHCARE SERVICES LLC
CLINTON, SC
NPI
1063089266
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Entity Type
Organization
Authorized Contact
TYRONE G ROBERSON
Nurse Practitioner
864-384-5277
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
Enumeration Date
2021-06-07
Last Update Date
2021-10-04
Business Address
VITALITY HEALTHCARE SERVICES LLC
400 PLAZA CIR STE G
CLINTON, SC 29325-7558
Phone number: 864-403-9150
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Mailing Address
VITALITY HEALTHCARE SERVICES LLC
400 PLAZA CIR STE G
CLINTON, SC 29325-7558
Phone number: 864-403-9150
Copy
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