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Organization
BLUE MOUNTAIN WELLNESS LLC
Active
Organization
BLUE MOUNTAIN WELLNESS LLC
Active
Other names
The Ckd Dietitian
Organization subpart
No
Provider details
NPI number
Authorized official
SARA MARIE PRATO MS, RDN, CSR (OWNER/REGISTERED DIETITIAN)
(719) 445-6400
Entity
Organization
Contact information
Practice address
7750 N UNION BLVD STE 200, COLORADO SPRINGS, CO 80920-4051
(719) 445-6400
Mailing address
10426 SKY POND LN, COLORADO SPRINGS, CO 80924-4513
(707) 832-8407
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/23/2021
Last updated
06/23/2023
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