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Organization
ORIGEN BETTER.LLC
Active
Organization
ORIGEN BETTER.LLC
Active
Parent organization
NONE
Other names
none
Organization subpart
Yes
Provider details
NPI number
Legal business name
NONE
Authorized official
MS. TRALADA W PURNELL MINISTER (CHAPLAIN)
(330) 000-0001
Entity
Organization
Contact information
Practice address
1200 S UNION AVE, NONE, ALLIANCE, OH 44601-4021
(330) 000-0001
(330) 000-0003
Mailing address
1200 S UNION AVE, NONE, ALLIANCE, OH 44601-4021
(330) 000-0001
(330) 000-0003
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
305R00000X
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1645138
—
OH
Enumeration date
12/10/2010
Last updated
12/10/2010
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