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1437530185
MAN ALIVE, LLC
VANCOUVER, WA
NPI
1437530185
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Entity Type
Organization
Authorized Contact
DEAN BARRUS
Owner
360-984-5806
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: WA MD00043839)
Enumeration Date
2015-06-17
Last Update Date
2016-02-01
Business Address
MAN ALIVE, LLC
9430 NE VANCOUVER MALL DR
VANCOUVER, WA 98662-6172
Phone number: 360-253-6947
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Mailing Address
MAN ALIVE, LLC
9430 NE VANCOUVER MALL DR
VANCOUVER, WA 98662-6172
Phone number: 360-984-5806
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