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1427331982
VITALITY MENS HEALTH AND WELLNESS, LLC
GERMANTOWN, TN
NPI
1427331982
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Entity Type
Organization
Authorized Contact
CHRISTY LONG
Credentialing
901-737-1992
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: TN 46215)
Enumeration Date
2011-09-21
Last Update Date
2012-01-19
Business Address
VITALITY MENS HEALTH AND WELLNESS, LLC
6655 POPLAR AVE SUITE 204
GERMANTOWN, TN 38138-3691
Phone number: 901-751-4477
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Mailing Address
VITALITY MENS HEALTH AND WELLNESS, LLC
6655 POPLAR AVE SUITE 204
GERMANTOWN, TN 38138-3691
Phone number: 901-751-4477
Copy
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