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1003423625
KENRESE THERESA CARTER
SMYRNA, GA
NPI
1003423625
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Other Name
KENRESE THERESA CAMPBELL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133N00000X Nutritionist
(Licence: MD DX5094)
Enumeration Date
2020-09-28
Last Update Date
2024-10-24
Business Address
KENRESE THERESA CARTER MS,CNS
4344 FAWN LN SE
SMYRNA, GA 30082-3951
Phone number: 404-397-3009
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Mailing Address
KENRESE THERESA CARTER MS,CNS
4344 FAWN LN SE
SMYRNA, GA 30082-3951
Phone number: 404-397-3009
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