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1063104511
MENTORUP LIFE LAB & CLINIC
TUSCALOOSA, AL
NPI
1063104511
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Entity Type
Organization
Authorized Contact
ELLORY KATE JOHNSON
Medical Director
205-771-2261
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
Enumeration Date
2023-05-23
Last Update Date
2023-05-23
Business Address
MENTORUP LIFE LAB & CLINIC
535 JACK WARNER PKWY NE STE G2
TUSCALOOSA, AL 35404-5715
Phone number: 205-771-2261
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Mailing Address
MENTORUP LIFE LAB & CLINIC
4202 20TH ST NE
TUSCALOOSA, AL 35404-1502
Phone number: 205-771-2261
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