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1356899025
VINTAGE MEDICAL, LLC
SOUTHLAKE, TX
NPI
1356899025
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Entity Type
Organization
Authorized Contact
JEFF KROPHOLLER
Owner
254-221-2900
Organization Subpart ?
No
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date
2016-09-12
Last Update Date
2016-09-12
Business Address
VINTAGE MEDICAL, LLC
251 E SOUTHLAKE BLVD STE 150
SOUTHLAKE, TX 76092-6276
Phone number: 817-424-0971
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Mailing Address
VINTAGE MEDICAL, LLC
251 E SOUTHLAKE BLVD STE 150
SOUTHLAKE, TX 76092-6276
Phone number: 817-424-0971
Copy
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