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1114398013
CLAIRE STEVENS TIDWELL
LEXINGTON, SC
NPI
1114398013
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: SC 438)
Enumeration Date
2015-10-18
Last Update Date
2015-10-18
Business Address
CLAIRE STEVENS TIDWELL MS, RDN, LD, CNSC
349 SPRUCE GLEN RD
LEXINGTON, SC 29072-8897
Phone number: 828-712-3885
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Mailing Address
CLAIRE STEVENS TIDWELL MS, RDN, LD, CNSC
349 SPRUCE GLEN RD
LEXINGTON, SC 29072-8897
Phone number: 828-712-3885
Copy
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