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1598204844
RENEW WEIGHT LOSS LLC
SALEM, OR
NPI
1598204844
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Entity Type
Organization
Authorized Contact
MICHAEL KORT
Owner
503-362-6334
Organization Subpart ?
No
Primary Taxonomy
261QM2500X Clinic/Center, Medical Specialty
Enumeration Date
2017-02-20
Last Update Date
2017-02-20
Business Address
RENEW WEIGHT LOSS LLC
2659 COMMERCIAL ST SE STE 236
SALEM, OR 97302-4445
Phone number: 503-362-6334
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Mailing Address
RENEW WEIGHT LOSS LLC
2659 COMMERCIAL ST SE STE 236
SALEM, OR 97302-4445
Phone number: 503-362-6334
Copy
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