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Organization
6WEEKWORKOUT LLC
Active
Organization
6WEEKWORKOUT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARIK JEFFERY BANNISTER (MANAGER)
(775) 790-9481
Entity
Organization
Contact information
Practice address
3691 S CARSON ST, CARSON CITY, NV 89701-5567
(775) 790-9679
(775) 883-6840
Mailing address
3691 S CARSON ST, CARSON CITY, NV 89701-5567
(775) 790-9679
(775) 883-6840
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
0900026381
NV
Other
Enumeration date
01/05/2010
Last updated
01/05/2010
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