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1851797427
LIFEVANTAGE HOME HEALTH, LLC
BURLESON, TX
NPI
1851797427
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Entity Type
Organization
Authorized Contact
GERSON PINOTE CONSERMAN
Owner
817-541-4153
Organization Subpart ?
No
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2014-11-10
Last Update Date
2014-11-10
Business Address
LIFEVANTAGE HOME HEALTH, LLC
110 SW THOMAS ST
BURLESON, TX 76028-3818
Phone number: 817-541-4153
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Mailing Address
LIFEVANTAGE HOME HEALTH, LLC
110 SW THOMAS ST
BURLESON, TX 76028-3818
Phone number: 817-541-4153
Copy
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