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1043525876
BETHANY ELAM
NEWPORT BEACH, CA
NPI
1043525876
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: 958358)
Enumeration Date
2010-08-17
Last Update Date
2010-08-17
Business Address
Ms. BETHANY ELAM RD
315 MEDINA WAY
NEWPORT BEACH, CA 92661-1215
Phone number: 703-598-5087
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Mailing Address
Ms. BETHANY ELAM RD
315 MEDINA WAY
NEWPORT BEACH, CA 92661-1215
Phone number: 703-598-5087
Copy
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