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1063933372
KELLY DIAMOND
CHARLOTTE, NC
NPI
1063933372
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Former Name
KELLY MARTRAY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: 883192)
Enumeration Date
2017-06-28
Last Update Date
2017-06-28
Business Address
KELLY DIAMOND RD
428 E 4TH ST
CHARLOTTE, NC 28202-2434
Phone number: 617-413-2867
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Mailing Address
KELLY DIAMOND RD
428 E 4TH ST
CHARLOTTE, NC 28202-2434
Phone number:
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