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1255879755
PREVENTIVE MEDICINE ANTI-AGING AND CHELATION, INC
RINGGOLD, GA
NPI
1255879755
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Entity Type
Organization
Authorized Contact
DIMITRI LOUCAS
Billing
706-891-1200
Organization Subpart ?
No
Primary Taxonomy
305S00000X Point of Service
Enumeration Date
2017-02-03
Last Update Date
2017-02-03
Business Address
PREVENTIVE MEDICINE ANTI-AGING AND CHELATION, INC
148 COBB PKWY
RINGGOLD, GA 30736-8566
Phone number: 706-891-1200
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Mailing Address
PREVENTIVE MEDICINE ANTI-AGING AND CHELATION, INC
148 COBB PKWY
RINGGOLD, GA 30736-8566
Phone number: 706-891-1200
Copy
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