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1093345969
REVIVE NUTRITION LLC
JAMAICA PLAIN, MA
NPI
1093345969
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Entity Type
Organization
Authorized Contact
KIMBERLY A SABADA
Owner, Registered Dietitian
314-369-3159
Organization Subpart ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
Enumeration Date
2020-01-20
Last Update Date
2024-07-10
Business Address
REVIVE NUTRITION LLC
3305 WASHINGTON ST UNIT 401
JAMAICA PLAIN, MA 02130-5322
Phone number: 314-369-3159
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Mailing Address
REVIVE NUTRITION LLC
3305 WASHINGTON ST UNIT 401
JAMAICA PLAIN, MA 02130-5322
Phone number: 314-369-3159
Copy
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