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Full Circle Nutrition Llc
Health Service Clinic/Center in Janesville, Wisconsin
NPI 1437596517

Full Circle Nutrition Llc is a Health Service Clinic/Center based in Jefferson, WI and is specialized in Health Service. Full Circle Nutrition Llc practices in Janesville, WI. The NPI Number for Full Circle Nutrition Llc is 1437596517 and holds a License No. 1396-29 (Wisconsin).

The current practice location address for Full Circle Nutrition Llc is 1711 Holiday Dr, Janesville, WI and can be reached out via phone at 608-295-6787.

Location: 1711 Holiday Dr, Janesville, WI, 53549-9556
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1437596517
Provider Name
Full Circle Nutrition Llc
Credential
Provider Entity Type
Organization
Address
1711 Holiday Dr, Janesville, WI, 53549-9556
Phone Number
608-295-6787
Fax Number
Provider Enumeration Date
05/29/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1215297114 01 NPI TYPE 1
institution
Provider Business Practice Location Address Details
Address
1711 Holiday Dr
City
Janesville
State
Wisconsin
Zip
53545-0745
Phone Number
608-295-6787
Fax Number
person
Provider Business Mailing Address Details
Address
1711 Holiday Dr
City
Janesville
State
Wisconsin
Zip
53545-0745
Phone Number
608-295-6787
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
1396-29 (Wisconsin)
Definition
Definition to come...
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