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1073086203
OPTIMAL NUTRITION LLC
GLASTONBURY, CT
NPI
1073086203
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Entity Type
Organization
Authorized Contact
LISA RABITA SHETTLE
Owner
860-916-2486
Organization Subpart ?
No
Primary Taxonomy
261QH0100X Clinic/Center, Health Services
Enumeration Date
2019-01-10
Last Update Date
2019-01-10
Business Address
OPTIMAL NUTRITION LLC
65 KELSEY LN
GLASTONBURY, CT 06033-5040
Phone number: 860-916-2486
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Mailing Address
OPTIMAL NUTRITION LLC
65 KELSEY LN
GLASTONBURY, CT 06033-5040
Phone number: 860-916-2486
Copy
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