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1497456545
VINTAGE VITALITY LLC
EAST ORANGE, NJ
NPI
1497456545
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Entity Type
Organization
Authorized Contact
ALTHEA HAYNES
Practitioner
973-704-0196
Organization Subpart ?
No
Primary Taxonomy
174H00000X Health Educator
Enumeration Date
2023-03-15
Last Update Date
2023-03-15
Business Address
VINTAGE VITALITY LLC
516 MAIN ST
EAST ORANGE, NJ 07018-2244
Phone number: 973-704-0196
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Mailing Address
VINTAGE VITALITY LLC
516 MAIN ST
EAST ORANGE, NJ 07018-2244
Phone number: 973-704-0196
Copy
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