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1124879788
MIDWEST NUTRITION, PLLC
COUNCIL BLUFFS, IA
NPI
1124879788
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Entity Type
Organization
Authorized Contact
WHITNEY BLACK
Owner
662-322-9037
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2024-04-01
Last Update Date
2024-04-01
Business Address
MIDWEST NUTRITION, PLLC
103 NORTH AVE STE 8
COUNCIL BLUFFS, IA 51503-1613
Phone number: 662-322-9037
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Mailing Address
MIDWEST NUTRITION, PLLC
8169 S 185TH ST
OMAHA, NE 68136-6451
Phone number: 662-322-9037
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