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1679843700
GRASS ROOTS HEALTH FOODS
EAGLE RIVER, WI
NPI
1679843700
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Entity Type
Organization
Authorized Contact
DAVID G. KOLLER
Owner
715-479-6299
Organization Subpart ?
No
Primary Taxonomy
335G00000X Medical Foods Supplier
Enumeration Date
2012-01-05
Last Update Date
2022-07-21
Business Address
GRASS ROOTS HEALTH FOODS
3440 STATE HIGHWAY 70 E
EAGLE RIVER, WI 54521-9491
Phone number: 715-479-6299
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Mailing Address
GRASS ROOTS HEALTH FOODS
3440 STATE HIGHWAY 70 E
EAGLE RIVER, WI 54521-9491
Phone number:
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