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Organization
ADVANCED NUTRITION THERAPY, LLC
Active
Organization
ADVANCED NUTRITION THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORA JODY R.D. (OWNER)
(859) 358-0931
Entity
Organization
Contact information
Practice address
1095 FOUR MILE RD, RICHMOND, KY 40475-9260
(859) 358-0931
Mailing address
1006 COR LON WAY, CORBIN, KY 40701-8706
(859) 358-0931
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1160
KY
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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