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1689100893
VINTAGE LITHOTRIPSY, LLC
SAN ANTONIO, TX
NPI
1689100893
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Entity Type
Organization
Authorized Contact
LACEY DINH
Revenue Cycle Manager
520-323-8732
Organization Subpart ?
No
Primary Taxonomy
261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date
2017-05-08
Last Update Date
2017-05-08
Business Address
VINTAGE LITHOTRIPSY, LLC
5150 BROADWAY ST
SAN ANTONIO, TX 32304-5710
Phone number: 520-323-8732
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Mailing Address
VINTAGE LITHOTRIPSY, LLC
6339 E SPEEDWAY BLVD
TUCSON, AZ 85710-1147
Phone number: 520-323-8732
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