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1669841458
LATITUDE 19 MEDICAL INC.
KAILUA KONA, HI
NPI
1669841458
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Entity Type
Organization
Authorized Contact
RUSSELL ALAN PARKER
President
719-237-0590
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: HI DOS-685)
Enumeration Date
2015-09-22
Last Update Date
2015-09-22
Business Address
LATITUDE 19 MEDICAL INC.
75-5591 PALANI RD
KAILUA KONA, HI 96740-3631
Phone number: 808-640-3460
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Mailing Address
LATITUDE 19 MEDICAL INC.
75-5737 KUAKINI HWY STE 202
KAILUA KONA, HI 96740-1725
Phone number: 808-640-3460
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