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1821453721
INTEGRATED LIFE, LLC
CHARLOTTESVILLE, VA
NPI
1821453721
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Entity Type
Organization
Authorized Contact
BRIAN P DICKERT
Owner
434-227-7149
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: VA 0104001870)
Enumeration Date
2015-12-18
Last Update Date
2015-12-18
Business Address
INTEGRATED LIFE, LLC
103 S PANTOPS DR SUITE 105
CHARLOTTESVILLE, VA 22911-8617
Phone number: 434-227-7149
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Mailing Address
INTEGRATED LIFE, LLC
103 SOUTH PANTOPS DR. SUITE 105
CHARLOTTESVILLE, VIRGINIA 22911
Phone number: 434-227-7149
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