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1790484194
VITALITY PLUS UROLOGY, LLC
MOUNTAIN HOME, AR
NPI
1790484194
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Entity Type
Organization
Authorized Contact
DANIEL BENJAMIN DECKER
Operating Manager
870-232-5215
Organization Subpart ?
No
Primary Taxonomy
208800000X Urology
Enumeration Date
2023-02-24
Last Update Date
2024-08-13
Business Address
VITALITY PLUS UROLOGY, LLC
140 HIGHWAY 201 N
MOUNTAIN HOME, AR 72653-3158
Phone number: 870-232-5215
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Mailing Address
VITALITY PLUS UROLOGY, LLC
PO BOX 2443
MOUNTAIN HOME, AR 72654-2443
Phone number: 870-232-5215
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