NEW AGE VITALITY CLINIC LLC

PAINTSVILLE, KY
NPI1700251626
Entity TypeOrganization
Authorized ContactKRISTY WIREMAN
Owner
606-789-8531
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2015-12-03
Last Update Date2016-03-08
Business Address
NEW AGE VITALITY CLINIC LLC
327 BROADWAY ST
PAINTSVILLE, KY 41240-1348
Phone number: 606-789-8531
Mailing Address
NEW AGE VITALITY CLINIC LLC
327 BROADWAY ST
PAINTSVILLE, KY 41240-1348
Phone number: 606-789-8531
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