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1922283175
ALTA WELLNESS LLC
SAN ANTONIO, TX
NPI
1922283175
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Entity Type
Organization
Authorized Contact
WILLIS HERALD WAGNER
Owner
210-930-5505
Organization Subpart ?
No
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
Enumeration Date
2008-01-07
Last Update Date
2008-01-07
Business Address
ALTA WELLNESS LLC
7959 FREDERICKSBURG RD SUITE 139
SAN ANTONIO, TX 78229-3430
Phone number: 210-615-3668
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Mailing Address
ALTA WELLNESS LLC
602 ALTA AVE
SAN ANTONIO, TX 78209-4432
Phone number: 210-930-5505
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