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Organization

LIBERATION FITNESS

Active
Other names
Liberation Wellness
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN BROWN C..P.T.,N.C (PRESIDENT)
(856) 786-4875
Entity
Organization

Contact information

Practice address
218 E 4TH ST, PALMYRA, NJ 08065-1506
(856) 786-4875
Mailing address
218 E 4TH ST, PALMYRA, NJ 08065-1506
(856) 786-4875

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
174400000X
Specialist

Other

Enumeration date
06/23/2010
Last updated
06/23/2010
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