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Organization

CHANGE MINDSET

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHAUNTRA LAMOTTE- OSBORNE BCHHP, CHN (OWNER / BCHHP)
(973) 517-0182
Entity
Organization

Contact information

Practice address
2232 DELL RANGE BLVD SUITE 245 BOX# 3317, CHEYENNE, WY 82009
(973) 517-0182
Mailing address
2232 DELL RANGE BLVD SUITE 245 BOX# 3317, CHEYENNE, WY 82009

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary

Other

Enumeration date
12/24/2024
Last updated
12/24/2024
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