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1033972518
KELLY NUTRITION, LLC
LAFAYETTE, IN
NPI
1033972518
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Entity Type
Organization
Authorized Contact
KELLY VANDAME
Owner
765-413-5609
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2024-02-06
Last Update Date
2024-05-28
Business Address
KELLY NUTRITION, LLC
100 EXECUTIVE DR STE F
LAFAYETTE, IN 47905-4864
Phone number: 765-413-5609
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Mailing Address
KELLY NUTRITION, LLC
5134 FLORENCE LN
LAFAYETTE, IN 47905-7741
Phone number: 765-413-5609
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