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1063520427
DEANNA RAE TACKER
MEMPHIS, TN
NPI
1063520427
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: TN LDN0000001656)
Enumeration Date
2006-08-27
Last Update Date
2007-07-08
Business Address
Miss DEANNA RAE TACKER MS, RD, LDN
1030 JEFFERSON AVE
MEMPHIS, TN 38104-2127
Phone number: 901-523-8990
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Mailing Address
Miss DEANNA RAE TACKER MS, RD, LDN
2163 W GLENALDEN DR
GERMANTOWN, TN 38139-5425
Phone number: 901-756-5198
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