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Organization

YOUR BEST LIFE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHANA WILD (CO-DIRECTOR)
(262) 483-4061
Entity
Organization

Contact information

Practice address
2360 DAKOTA DR, GRAFTON, WI 53024-9811
(262) 483-4061
Mailing address
2360 DAKOTA DR, GRAFTON, WI 53024-9811
(262) 483-4061

Taxonomy

Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary

Other

Enumeration date
10/04/2021
Last updated
10/04/2021
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