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Organization
C.L.U.B BLESSED WEIGHT MANAGEMENT INC.
Active
Organization
C.L.U.B BLESSED WEIGHT MANAGEMENT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE JEAN BARBOZA NUTRITION SPECIALIST (FITNESS & WEIGHT MANAGEMENT COACH)
(774) 379-9761
Entity
Organization
Contact information
Practice address
250 MAIN ST, PAWTUCKET, RI 02860-4016
(774) 379-9761
Mailing address
102 MOORE ST, PROVIDENCE, RI 02907-1505
(774) 379-9761
Taxonomy
Speciality
Code
Description
License number
State
103TE1100X
Exercise & Sports Psychologist
Primary
—
NULL
103TE1100X
Exercise & Sports Psychologist
Primary
—
—
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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