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1518205947
ADVANCED WEIGHT LOSS CLINIC, L.L.C.
CLEVER, MO
NPI
1518205947
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Entity Type
Organization
Authorized Contact
BRITTANY HALEY
Proffessional
417-743-5113
Organization Subpart ?
No
Primary Taxonomy
302R00000X Health Maintenance Organization
Enumeration Date
2013-01-18
Last Update Date
2013-01-18
Business Address
ADVANCED WEIGHT LOSS CLINIC, L.L.C.
6809 STATE HIGHWAY 14 W
CLEVER, MO 65631-6799
Phone number: 417-743-5113
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Mailing Address
ADVANCED WEIGHT LOSS CLINIC, L.L.C.
6809 SOUTH STATE HWY 14
CLEVER, MO 65631
Phone number: 417-743-5113
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