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1154869774
MYGENETX WELLNESS, LLC
COVINGTON, KY
NPI
1154869774
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Entity Type
Organization
Authorized Contact
LARRY SAUNDERS
President
513-908-9447
Organization Subpart ?
No
Primary Taxonomy
302F00000X Exclusive Provider Organization
Enumeration Date
2017-02-02
Last Update Date
2017-02-02
Business Address
MYGENETX WELLNESS, LLC
525 W 5TH ST STE 310
COVINGTON, KY 41011-1200
Phone number: 513-908-9447
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Mailing Address
MYGENETX WELLNESS, LLC
525 W 5TH ST STE 310
COVINGTON, KY 41011-1200
Phone number: 513-908-9447
Copy