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1811553555
DIET OF A LIFETIME, LLC
PINE BLUFF, AR
NPI
1811553555
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Entity Type
Organization
Authorized Contact
DEBRA C GOLDMON
Owner
870-540-9114
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2019-05-17
Last Update Date
2019-05-17
Business Address
DIET OF A LIFETIME, LLC
123 S PINE ST
PINE BLUFF, AR 71601-4222
Phone number: 870-540-9114
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Mailing Address
DIET OF A LIFETIME, LLC
420 SANDY BAYOU LN
PINE BLUFF, AR 71603-6555
Phone number: 870-850-0351
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