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1982012241
DEVINE NUTRITION INC
TINLEY PARK, IL
NPI
1982012241
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Entity Type
Organization
Authorized Contact
KELLY L DEVINE
President
708-612-0876
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: IL 164004722)
Enumeration Date
2014-07-30
Last Update Date
2024-03-04
Business Address
DEVINE NUTRITION INC
6811 167TH ST STE 6
TINLEY PARK, IL 60477-2501
Phone number: 708-612-0876
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Mailing Address
DEVINE NUTRITION INC
6521 CHARLESTON ST
OAK FOREST, IL 60452-2626
Phone number: 708-612-0876
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