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1518627033
VITABOOST WELLNESS CENTER
CHATSWORTH, CA
NPI
1518627033
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Entity Type
Organization
Authorized Contact
AUDRA ELAINE FORD
Medical Director
310-877-8067
Organization Subpart ?
No
Primary Taxonomy
302R00000X Health Maintenance Organization
Enumeration Date
2021-12-23
Last Update Date
2021-12-23
Business Address
VITABOOST WELLNESS CENTER
20955 DEVONSHIRE ST
CHATSWORTH, CA 91311-2313
Phone number: 310-877-8067
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Mailing Address
VITABOOST WELLNESS CENTER
20955 DEVONSHIRE ST
CHATSWORTH, CA 91311-2313
Phone number: 310-877-8067
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