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1790004836
VALLEY HEAD CLINIC LLC
FORT PAYNE, AL
NPI
1790004836
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Entity Type
Organization
Authorized Contact
MUHAMMAD EJAZ ATA
Owner
256-451-1250
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: AL 16386)
Enumeration Date
2010-05-28
Last Update Date
2017-03-28
Business Address
VALLEY HEAD CLINIC LLC
205 GRAND AVE NW STE B
FORT PAYNE, AL 35967-2107
Phone number: 256-979-1515
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Mailing Address
VALLEY HEAD CLINIC LLC
205 GRAND AVE NW STE B
FORT PAYNE, AL 35967-2107
Phone number: 256-979-1515
Copy
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