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1356614689
HA VAN, DC, PA
ORANGE CITY, FL
NPI
1356614689
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Entity Type
Organization
Authorized Contact
HA VAN
President
317-603-6457
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: FL CH10183)
Enumeration Date
2012-02-16
Last Update Date
2012-02-16
Business Address
HA VAN, DC, PA
1656 S VOLUSIA AVE
ORANGE CITY, FL 32763-7335
Phone number: 386-917-0007
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Mailing Address
HA VAN, DC, PA
1656 S VOLUSIA AVE
ORANGE CITY, FL 32763-7335
Phone number: 386-917-0007
Copy
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