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1790957090
PHYSICIAN LONGEVITY INSTITUTE, INC
GEORGETOWN, TX
NPI
1790957090
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Entity Type
Organization
Authorized Contact
GARY R ALBERTSON
Owner
512-863-4500
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2008-03-26
Last Update Date
2008-08-20
Business Address
PHYSICIAN LONGEVITY INSTITUTE, INC
1221 LEANDER RD
GEORGETOWN, TX 78628-8707
Phone number: 512-863-4500
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Mailing Address
PHYSICIAN LONGEVITY INSTITUTE, INC
15943 BOOTH CIR
VOLENTE, TX 78641-9679
Phone number: 512-250-9140
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