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1407406697
NEW LIFE KETAMINE CLINIC LLC
DAYTON, OH
NPI
1407406697
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Entity Type
Organization
Authorized Contact
JOHN E KLENS
Owner/Manager
937-689-5994
Organization Subpart ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
Enumeration Date
2019-09-19
Last Update Date
2019-10-30
Business Address
NEW LIFE KETAMINE CLINIC LLC
7905 SCHATZ POINTE DR STE 100
DAYTON, OH 45459-3856
Phone number: 937-545-5994
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Mailing Address
NEW LIFE KETAMINE CLINIC LLC
7905 SCHATZ POINTE DR STE 100
DAYTON, OH 45459-3856
Phone number: 937-554-5994
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