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1104302694
KELLIE JO CARSON
NASHVILLE, TN
NPI
1104302694
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: TN LDN0000001694)
Enumeration Date
2018-07-17
Last Update Date
2018-07-17
Business Address
KELLIE JO CARSON RD LDN CNSC
1211 21ST AVE S 607 MEDICAL ARTS BUILDING
NASHVILLE, TN 37232-1320
Phone number: 615-936-3952
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Mailing Address
KELLIE JO CARSON RD LDN CNSC
1211 21ST AVE S 607 MEDICAL ARTS BUILDING
NASHVILLE, TN 37232-1320
Phone number: 615-936-3952
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