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Organization

BALANCED NOURISHMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAMELA CARIGNAN (DIRECTOR AND FOUNDER)
(860) 306-3722
Entity
Organization

Contact information

Practice address
66 LAUREL LN, SIMSBURY, CT 06070-1518
(860) 306-3722
Mailing address
66 LAUREL LN, SIMSBURY, CT 06070-1518
(860) 306-3722

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
48892606
CT

Other

Enumeration date
06/19/2007
Last updated
06/16/2008
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