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Organization

FITNESS EXPLOSION ELITE TRAINING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DULON STEVENS (OWNER)
(707) 624-0296
Entity
Organization

Contact information

Practice address
322 PARKER ST STE A, VACAVILLE, CA 95688-4564
(707) 474-9407
Mailing address
240 TROON CT, VACAVILLE, CA 95687-7728
(707) 624-0296

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary

Other

Enumeration date
10/19/2022
Last updated
10/19/2022
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