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1285290437
ACTIVE LIFE ORTHOTICS AND PROSTHETICS CORP.
ROSWELL, NM
NPI
1285290437
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Entity Type
Organization
Authorized Contact
PALLAVI NEMANI
Compliance Officer
512-552-6311
Organization Subpart ?
No
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
Enumeration Date
2019-05-14
Last Update Date
2023-12-14
Business Address
ACTIVE LIFE ORTHOTICS AND PROSTHETICS CORP.
2515 N KENTUCKY AVE
ROSWELL, NM 88201-5807
Phone number: 505-266-1700
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Mailing Address
ACTIVE LIFE ORTHOTICS AND PROSTHETICS CORP.
124 ALVARADO DR SE
ALBUQUERQUE, NM 87108-2940
Phone number:
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