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1679963771
LIFEVANTAGE HOUSE CALLS PLLC
FORT WORTH, TX
NPI
1679963771
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Entity Type
Organization
Authorized Contact
RAYMOND ANDRADA
Owner
817-739-4007
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
Enumeration Date
2015-01-27
Last Update Date
2015-01-27
Business Address
LIFEVANTAGE HOUSE CALLS PLLC
9101 NIGHTINGALE DR
FORT WORTH, TX 76123-2713
Phone number: 817-739-4007
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Mailing Address
LIFEVANTAGE HOUSE CALLS PLLC
9101 NIGHTINGALE DR
FORT WORTH, TX 76123-2713
Phone number: 817-739-4007
Copy
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