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1033250733
SHANNON ELAINE SMITH
SAN DIEGO, CA
NPI
1033250733
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: R814381)
Enumeration Date
2007-02-08
Last Update Date
2007-07-08
Business Address
MS. SHANNON ELAINE SMITH RD
7901 FROST ST
SAN DIEGO, CA 92123-2701
Phone number: 858-939-3478
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Mailing Address
MS. SHANNON ELAINE SMITH RD
2150 PACIFIC BEACH DR APT 323
SAN DIEGO, CA 92109-5624
Phone number: 760-272-7097
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