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1366953168
ACTIVE LIFE, LLC
PALMDALE, CA
NPI
1366953168
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Entity Type
Organization
Authorized Contact
SPENCER ARDEN DOTY
President
858-616-7724
Organization Subpart ?
No
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
Enumeration Date
2017-10-19
Last Update Date
2021-01-14
Business Address
ACTIVE LIFE, LLC
190 SIERRA CT STE A4
PALMDALE, CA 93550-7608
Phone number: 818-495-4610
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Mailing Address
ACTIVE LIFE, LLC
1577 E CHEVY CHASE DR STE 210
GLENDALE, CA 91206-4741
Phone number: 818-522-8781
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