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1700204302
INTEGRATIVE MODALITY, INC
DAVIE, FL
NPI
1700204302
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Entity Type
Organization
Authorized Contact
LORRAINE D JACKSON
Director
954-816-6703
Organization Subpart ?
No
Primary Taxonomy
333600000X Pharmacy
(Licence: FL 28002)
Enumeration Date
2014-04-01
Last Update Date
2014-04-01
Business Address
INTEGRATIVE MODALITY, INC
12555 ORANGE DR #4079
DAVIE, FL 33330-4304
Phone number: 954-862-1720
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Mailing Address
INTEGRATIVE MODALITY, INC
12555 ORANGE DR #4079
DAVIE, FL 33330-4304
Phone number: 954-862-1720
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