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Organization

ABUNDANT LIVING TOTAL WELLNESS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIERRA C OLIVER (OWNER)
(845) 637-9982
Entity
Organization

Contact information

Practice address
60 PROSPECT AVE, MIDDLETOWN, NY 10940-4133
(845) 637-9982
Mailing address
3 KENSINGTON MNR APT 3, MIDDLETOWN, NY 10941-1800
(845) 637-9982

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Enumeration date
01/19/2026
Last updated
01/19/2026
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