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1013063056
MARYANN FANTY
KATY, TX
NPI
1013063056
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: TX DT01214)
Enumeration Date
2007-01-25
Last Update Date
2007-07-09
Business Address
-- MARYANN FANTY
1736 KATYLAND DR
KATY, TX 77493-1751
Phone number: 281-237-6647
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Mailing Address
-- MARYANN FANTY
1736 KATYLAND DR
KATY, TX 77493-1751
Phone number: 281-237-6647
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