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1720390362
CHANGE CENTER FOR VITALITY
LITTLE ROCK, AR
NPI
1720390362
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Entity Type
Organization
Authorized Contact
DEBRA VELEZ
President
501-324-8649
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2010-07-12
Last Update Date
2010-07-12
Business Address
CHANGE CENTER FOR VITALITY
400 W CAPITOL AVE STE 100D
LITTLE ROCK, AR 72201-3436
Phone number: 501-324-2649
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Mailing Address
CHANGE CENTER FOR VITALITY
400 W CAPITOL AVE STE 100D
LITTLE ROCK, AR 72201-3436
Phone number: 501-324-2649
Copy
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