# THE WEIGHT LOSS AND PAIN CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952031338
- **Authorized official:** PAULA HUNNICUTT BCHHP (CERTIFIED NUTRITIONIST/OWNER)
- **Authorized official phone:** (580) 309-2828

## Contact information

- **Practice address:** 1315 N WASHINGTON ST, WEATHERFORD, OK 73096-2443
- **Practice address phone:** (508) 309-2828
- **Mailing address:** 1315 N WASHINGTON ST, WEATHERFORD, OK 73096-2443
- **Mailing address phone:** (580) 309-2828

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133VN1004X | Pediatric Nutrition Registered Dietitian | — | NULL | Yes |
| 133VN1004X | Pediatric Nutrition Registered Dietitian | — | — | Yes |

## Other

- **Enumeration date:** 06/16/2022
- **Last updated:** 06/16/2022