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1073619557
KATHERINE ANNE GREEN
DALLAS, TX
NPI
1073619557
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133VN1004X Dietitian, Registered, Nutrition, Pediatric
(Licence: TX DT07680)
Enumeration Date
2006-09-15
Last Update Date
2007-07-08
Business Address
Mrs. KATHERINE ANNE GREEN RD/LD
1935 MOTOR ST
DALLAS, TX 75235-7701
Phone number: 214-456-2133
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Mailing Address
Mrs. KATHERINE ANNE GREEN RD/LD
11124 CACTUS LN
DALLAS, TX 75238-3802
Phone number: 972-679-1463
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