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1104043553
ESSENTIAL NUTRITION, INC
BOULDER, CO
NPI
1104043553
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Entity Type
Organization
Authorized Contact
LISA MARIE HIGH
President
303-725-4343
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: CO 838488)
Enumeration Date
2007-04-19
Last Update Date
2020-08-22
Business Address
ESSENTIAL NUTRITION, INC
4730 WALNUT ST SUITE 212
BOULDER, CO 80301-2558
Phone number: 303-725-4343
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Mailing Address
ESSENTIAL NUTRITION, INC
4730 WALNUT ST SUITE 212
BOULDER, CO 80301-2558
Phone number: 303-725-4343
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