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1093365975
KIMBERLY SHANNON
CHARLOTTE, NC
NPI
1093365975
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
Enumeration Date
2019-09-12
Last Update Date
2019-09-12
Business Address
KIMBERLY SHANNON RD
3507 CRAUGHWELL DR
CHARLOTTE, NC 28209-1994
Phone number: 704-609-9565
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Mailing Address
KIMBERLY SHANNON RD
3507 CRAUGHWELL DR
CHARLOTTE, NC 28209-1994
Phone number:
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