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1659157642
TYPE 2 THRIVING
LONG BEACH, CA
NPI
1659157642
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Entity Type
Organization
Authorized Contact
AUSTIN BOU
President
562-276-8057
Organization Subpart ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
Enumeration Date
2023-09-05
Last Update Date
2024-04-22
Business Address
TYPE 2 THRIVING
1716 E 53RD ST
LONG BEACH, CA 90805-6214
Phone number: 562-276-8057
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Mailing Address
TYPE 2 THRIVING
17901 PIONEER BLVD STE L113
ARTESIA, CA 90701-3952
Phone number:
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