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1053054585
AUSTIN TEDDER
PHOENIX, AZ
NPI
1053054585
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: AZ 86060863)
Enumeration Date
2022-04-13
Last Update Date
2022-04-13
Business Address
AUSTIN TEDDER MS, RD
9305 W THOMAS RD STE 360
PHOENIX, AZ 85037-3367
Phone number: 623-327-8200
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Mailing Address
AUSTIN TEDDER MS, RD
14717 N 91ST LN
PEORIA, AZ 85381-2703
Phone number: 623-313-6223
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