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1275155293
MY VIVE HEALTH AND FITNESS INC
KINGSTON, PA
NPI
1275155293
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Entity Type
Organization
Authorized Contact
BRENT OLIVER
Authorized Official
570-371-3572
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2020-05-13
Last Update Date
2021-07-02
Business Address
MY VIVE HEALTH AND FITNESS INC
500 3RD AVE
KINGSTON, PA 18704-5810
Phone number: 570-371-3572
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Mailing Address
MY VIVE HEALTH AND FITNESS INC
500 3RD AVE
KINGSTON, PA 18704-5810
Phone number: 570-371-3572
Copy
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