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1538799515
MEMPHIS NUTRITION GROUP, LLC
MEMPHIS, TN
NPI
1538799515
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Entity Type
Organization
Authorized Contact
BLAIR MIZE
Co Owner
901-619-1942
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2020-01-18
Last Update Date
2020-01-18
Business Address
MEMPHIS NUTRITION GROUP, LLC
6263 POPLAR AVE STE 605
MEMPHIS, TN 38119-4724
Phone number: 901-343-6146
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Mailing Address
MEMPHIS NUTRITION GROUP, LLC
6263 POPLAR AVE STE 605
MEMPHIS, TN 38119-4724
Phone number: 901-343-6146
Copy
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