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1477981066
ACTIVECARERX WELLNESS, LLC
NEWPORT BEACH, CA
NPI
1477981066
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Entity Type
Organization
Authorized Contact
IDRIS CLARK
Partner
949-757-4651
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2013-10-17
Last Update Date
2013-10-17
Business Address
ACTIVECARERX WELLNESS, LLC
1301 DOVE ST SUITE 800
NEWPORT BEACH, CA 92660-2412
Phone number: 949-757-0571
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Mailing Address
ACTIVECARERX WELLNESS, LLC
1301 DOVE ST SUITE 800
NEWPORT BEACH, CA 92660-2412
Phone number: 949-757-0571
Copy
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