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1063758282
MONTELISSA FULL LIFE RESOURCES, INC
DECATUR, AL
NPI
1063758282
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Entity Type
Organization
Authorized Contact
DENISE JOHNSON MASON
CEO
256-345-3996
Organization Subpart ?
No
Primary Taxonomy
302F00000X Exclusive Provider Organization
Enumeration Date
2012-12-15
Last Update Date
2012-12-15
Business Address
MONTELISSA FULL LIFE RESOURCES, INC
1008 CLARKVIEW ST SW
DECATUR, AL 35601-6204
Phone number: 256-686-1411
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Mailing Address
MONTELISSA FULL LIFE RESOURCES, INC
1008 CLARKVIEW ST SW
DECATUR, AL 35601-6204
Phone number: 256-686-1411
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