|Taxonomy Code||Specialty Code||Provider Type|
|LBN Legal business name||INNER VISION TREATMENT SERVICES|
|DBA Doing business as||INNER VISION DRUG TEST CONSULTANT.|
|Authorized official||PAUL ANDREWS - (PRESIDENT)|
|Organization subpart 1||No|
|Last updated||03/03/2010 - About 7 years ago|
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|DAWN L PEECHATKA, CACD,CRC,SAP,LPC
|DOUGLAS TROOK, PhD
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RT 390 BOX 41
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