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1013255066
ANDREA ADDLEY
SALT LAKE CITY, UT
NPI
1013255066
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: UT 6511772-4901)
Enumeration Date
2013-01-26
Last Update Date
2013-01-26
Business Address
-- ANDREA ADDLEY
1174 E GRAYSTONE WAY STE 1A
SALT LAKE CITY, UT 84106-2671
Phone number: 801-664-2182
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Mailing Address
-- ANDREA ADDLEY
2542 W 2800 S
WESTON, ID 83286-5125
Phone number:
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