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1154946002
NEW BODY WEIGHT LOSS CENTER LLC
JOHNSTOWN, PA
NPI
1154946002
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Entity Type
Organization
Authorized Contact
KELLY MODIC
Co Owner
954-668-6938
Organization Subpart ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
Enumeration Date
2020-06-16
Last Update Date
2020-06-16
Business Address
NEW BODY WEIGHT LOSS CENTER LLC
518 WASHINGTON ST
JOHNSTOWN, PA 15901-2114
Phone number: 954-668-6938
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Mailing Address
NEW BODY WEIGHT LOSS CENTER LLC
1109 VIRGINIA AVE
JOHNSTOWN, PA 15906-2431
Phone number:
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