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1508206442
VITALITY CLINICS OF EAST TEXAS, P.A.
TYLER, TX
NPI
1508206442
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Entity Type
Organization
Authorized Contact
STEVEN KIP YODER
Owner
903-525-9432
Organization Subpart ?
No
Primary Taxonomy
207QA0505X Family Medicine, Adult Medicine
Enumeration Date
2013-06-25
Last Update Date
2013-06-25
Business Address
VITALITY CLINICS OF EAST TEXAS, P.A.
455 RICE RD 102
TYLER, TX 75703-3604
Phone number: 903-525-9432
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Mailing Address
VITALITY CLINICS OF EAST TEXAS, P.A.
455 RICE RD 102
TYLER, TX 75703-3604
Phone number: 903-525-9432
Copy
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