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1558840900
PURE VITA CO.
BOISE, ID
NPI
1558840900
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Entity Type
Organization
Authorized Contact
DARCY LAWHORN
Owner
208-639-9488
Organization Subpart ?
No
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date
2018-08-07
Last Update Date
2019-09-05
Business Address
PURE VITA CO.
4775 N SUNDERLAND LN
BOISE, ID 83704-2216
Phone number: 725-221-3821
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Mailing Address
PURE VITA CO.
4775 N SUNDERLAND LN
BOISE, ID 83704-2216
Phone number: 725-221-3821
Copy
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