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1114575578
VITALITY CARE CENTER PLLC
PRESCOTT, AZ
NPI
1114575578
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Entity Type
Organization
Authorized Contact
CLARKE KRUGMAN
Owner
928-713-8385
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2019-08-29
Last Update Date
2020-03-10
Business Address
VITALITY CARE CENTER PLLC
1003 DIVISION ST STE 8
PRESCOTT, AZ 86301-1657
Phone number: 928-632-0730
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Mailing Address
VITALITY CARE CENTER PLLC
7760 E. STATE ROUTE 69 SUITE C-5 BOX 360
PRESCOTT VALLEY, AZ 86314
Phone number: 928-225-2560
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