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Organization

NIKKI JUPE NUTRITION LLC

Active
Other names
ROAM Nutrition
Organization subpart
No

Provider details

NPI number
Authorized official
NIKKI JUPE REGISTERED DIETITIAN (OWNER)
(254) 366-9204
Entity
Organization

Contact information

Practice address
1928 5TH ST APT 27, SPRINGFIELD, OR 97477-2291
(254) 366-9204
Mailing address
1928 5TH ST APT 27, SPRINGFIELD, OR 97477-2291
(254) 366-9204

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
06/17/2020
Last updated
06/17/2020
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