PROACTIVE NUTRITION & WELLNESS INC

COOS BAY, OR
NPI1467075663
Entity TypeOrganization
Authorized ContactANDREW WINQUIST
President
727-409-0016
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
Enumeration Date2020-05-21
Last Update Date2020-05-21
Business Address
PROACTIVE NUTRITION & WELLNESS INC
1455 LAUREL AVE
COOS BAY, OR 97420-2167
Phone number: 727-409-0016
Mailing Address
PROACTIVE NUTRITION & WELLNESS INC
1455 LAUREL AVE
COOS BAY, OR 97420-2167
Phone number: 727-409-0016
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