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1700126158
LIVING WELL BCS INC
MODESTO, CA
NPI
1700126158
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Entity Type
Organization
Authorized Contact
KRISTI LYNN MIKLUSICAK
Director
209-968-9080
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2013-02-21
Last Update Date
2013-02-21
Business Address
LIVING WELL BCS INC
510 CHABOT AVE
MODESTO, CA 95354-0233
Phone number: 209-968-9080
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Mailing Address
LIVING WELL BCS INC
510 CHABOT AVE
MODESTO, CA 95354-0233
Phone number: 209-968-9080
Copy
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