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1215448824
FULL STRIDE PROVIDERS
CHARLOTTESVILLE, VA
NPI
1215448824
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Entity Type
Organization
Authorized Contact
JC KOEHN
Owner
434-532-6020
Organization Subpart ?
No
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date
2017-10-23
Last Update Date
2017-10-23
Business Address
FULL STRIDE PROVIDERS
1223 VILLA LN UNIT F
CHARLOTTESVILLE, VA 22903-6569
Phone number: 434-532-6020
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Mailing Address
FULL STRIDE PROVIDERS
513 EAST MAIN STREET P.O. BOX 1695
CHARLOTTESVILLE, VA 22902
Phone number:
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