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Organization
EARTH BAR LLC
Active
Organization
EARTH BAR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UNIQUA CLEMONS CHHP (OWNER)
(706) 941-2302
Entity
Organization
Contact information
Practice address
2855 TOBACCO RD STE D, HEPHZIBAH, GA 30815-7197
(706) 941-2302
Mailing address
2855 TOBACCO RD STE D, HEPHZIBAH, GA 30815-7197
(706) 941-2302
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
NULL
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
02/15/2023
Last updated
02/15/2023
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