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1497261952
VITA WELLNESS LLC
EDMOND, OK
NPI
1497261952
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Entity Type
Organization
Authorized Contact
TODD ANTHONY KREHBIEL
Owner
405-726-2701
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK 18489)
Enumeration Date
2017-12-20
Last Update Date
2017-12-20
Business Address
VITA WELLNESS LLC
2117 N KELLY AVE
EDMOND, OK 73003-3908
Phone number: 405-726-2701
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Mailing Address
VITA WELLNESS LLC
2117 N KELLY AVE
EDMOND, OK 73003-3908
Phone number: 405-726-2701
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