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ACTIVE LIFE LLC
General Practice Physician
NPI: 1922577659Organization
Specialties, Licenses & Credentials
General Practice PhysicianPrimary
General Practice
Code: 208D00000X
Contact & Hours
- Address
- 2804 FORUM BLVD STE 1A
COLUMBIA, MO 65203 - Phone
- (573) 999-7805
Quick Facts
- NPI
- 1922577659
- Entity Type
- Organization
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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