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Organization

NUTRA, LLC

Active
Other names
Nutrition Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
MR. HUGH J ST. ONGE (OWNER)
(314) 482-0732
Entity
Organization

Contact information

Practice address
14805 CLAYTON RD, CHESTERFIELD, MO 63017-7881
(636) 386-3333
(636) 527-2570
Mailing address
14805 CLAYTON RD, CHESTERFIELD, MO 63017-7881
(636) 386-3333
(636) 527-2570

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
17126991
MO

Other

Enumeration date
09/24/2008
Last updated
09/24/2008
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