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1609450089
MODO BIO, LLC
WINDERMERE, FL
NPI
1609450089
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Entity Type
Organization
Authorized Contact
GARY VISSER
Medical Director
480-681-0406
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2021-05-11
Last Update Date
2021-05-11
Business Address
MODO BIO, LLC
11225 WILLOW GARDENS DR
WINDERMERE, FL 34786-6020
Phone number: 480-681-0406
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Mailing Address
MODO BIO, LLC
14275 N 87TH ST STE 115
SCOTTSDALE, AZ 85260-3696
Phone number: 480-681-0406
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