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Organization

VINCENT'S INC.

Active
Other names
Vincent's Footwear & Apparel
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JANET LEE VINCENT C.PED (C.PED)
(660) 826-1789
Entity
Organization

Contact information

Practice address
3115 W BROADWAY BLVD, SEDALIA, MO 65301-2116
(660) 826-1789
(660) 826-8081
Mailing address
3115 W BROADWAY BLVD, SEDALIA, MO 65301-2116
(660) 826-1789
(660) 826-8081

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
05/19/2008
Last updated
08/18/2008
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