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1073979209
AMANDA MARROQUIN
FORT WORTH, TX
NPI
1073979209
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133VN1004X Dietitian, Registered, Nutrition, Pediatric
(Licence: TX DT83072)
Enumeration Date
2016-01-04
Last Update Date
2021-04-22
Business Address
AMANDA MARROQUIN MS,RD,LD
1500 COOPER ST
FORT WORTH, TX 76104-2710
Phone number: 682-885-4260
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Mailing Address
AMANDA MARROQUIN MS,RD,LD
PO BOX 733784
DALLAS, TX 75373-3784
Phone number: 682-885-1855
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