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1720783665
FUNCTIONAL WELLNESS LLC
OKLAHOMA CITY, OK
NPI
1720783665
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Entity Type
Organization
Authorized Contact
LORI MATHEWS
Owner
405-277-0144
Organization Subpart ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
Enumeration Date
2023-03-31
Last Update Date
2023-03-31
Business Address
FUNCTIONAL WELLNESS LLC
1611 N BROADWAY AVE
OKLAHOMA CITY, OK 73103-4610
Phone number: 405-277-0144
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Mailing Address
FUNCTIONAL WELLNESS LLC
1 NE 2ND ST APT 401
OKLAHOMA CITY, OK 73104-2236
Phone number: 405-277-0144
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