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1013396985
MARY BLACKWELL
GREENVILLE, NC
NPI
1013396985
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: NC L001046)
Enumeration Date
2015-05-26
Last Update Date
2015-05-26
Business Address
-- MARY BLACKWELL RDN
3700 TUCKER DR
GREENVILLE, NC 27858-6000
Phone number: 252-757-1002
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Mailing Address
-- MARY BLACKWELL RDN
PO BOX 2944
GREENVILLE, NC 27836-0944
Phone number: 252-757-1002
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