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1962930503
VITALITY MEDICAL
SALLISAW, OK
NPI
1962930503
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Entity Type
Organization
Authorized Contact
NIKO KOLIASTASIS
CEO
918-636-3930
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
Enumeration Date
2017-05-26
Last Update Date
2020-01-08
Business Address
VITALITY MEDICAL
209 N OAK ST
SALLISAW, OK 74955-4639
Phone number: 918-636-3930
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Mailing Address
VITALITY MEDICAL
209 N OAK ST
SALLISAW, OK 74955-4639
Phone number: 918-503-6276
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