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1427355106
VIDRO INDUSTRIES, LLC
VILLA RICA, GA
NPI
1427355106
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Entity Type
Organization
Authorized Contact
RICHARD GLASS
CEO
770-456-4691
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 062989)
Enumeration Date
2011-02-16
Last Update Date
2013-06-27
Business Address
VIDRO INDUSTRIES, LLC
20 HERRELL RD
VILLA RICA, GA 30180-5527
Phone number: 770-456-4691
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Mailing Address
VIDRO INDUSTRIES, LLC
PO BOX 1149
VILLA RICA, GA 30180-6149
Phone number: 770-456-4691
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