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1235617333
LAVACA PRIMARY HEALTH SYSTEMS, LLC
TUSCALOOSA, AL
NPI
1235617333
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Entity Type
Organization
Authorized Contact
REGINAL N VINES
Owner
470-235-9354
Organization Subpart ?
No
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date
2018-07-31
Last Update Date
2018-07-31
Business Address
LAVACA PRIMARY HEALTH SYSTEMS, LLC
3915 PALISADES DR STE C
TUSCALOOSA, AL 35405-3415
Phone number: 205-248-2073
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Mailing Address
LAVACA PRIMARY HEALTH SYSTEMS, LLC
1105 SOUTHVIEW LN # 103-140
TUSCALOOSA, AL 35405-6390
Phone number: 470-235-9354
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