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1033742291
KAITLYN MARIE SHANNON
GLENDALE, AZ
NPI
1033742291
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: AZ 86085245)
Enumeration Date
2020-02-17
Last Update Date
2020-03-19
Business Address
Ms. KAITLYN MARIE SHANNON RD, LDN
20325 NORTH 51ST AVENUE BUILDING 9, SUITE 166
GLENDALE, AZ 85308
Phone number: 602-341-5248
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Mailing Address
Ms. KAITLYN MARIE SHANNON RD, LDN
20325 NORTH 51ST AVENUE BUILDING 9, SUITE 166
GLENDALE, AZ 85308
Phone number: 602-341-5248
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