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Organization
DEEPLY ROOTED NUTRITION LLC
Active
Organization
DEEPLY ROOTED NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAIGE MANSO MS RD CPT CFNIP LDN (OWNER)
(708) 925-2025
Entity
Organization
Contact information
Practice address
201 WEST LAKE STREET, PMB #40731, CHICAGO, IL 60606
(708) 318-7933
Mailing address
201 WEST LAKE STREET, PMB #40731, CHICAGO, IL 60606
(708) 318-7933
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/27/2026
Last updated
05/27/2026
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