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Organization
BRIGHT SKY NUTRITION, LLC
Active
Organization
BRIGHT SKY NUTRITION, LLC
Active
Other names
Sunshine Weight Loss Club, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LADONNA MARIE WEBB RD, LD, CDE (OWNER/DIETITIAN)
(417) 343-8222
Entity
Organization
Contact information
Practice address
3543 S LONE PINE AVE, SPRINGFIELD, MO 65804-4854
(417) 343-8222
(866) 542-3416
Mailing address
3243 W KATELLA CT, SPRINGFIELD, MO 65807-8713
(417) 343-8222
(866) 542-3416
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2004029834
MO
Other
Enumeration date
06/09/2016
Last updated
07/06/2016
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