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1124653233
NICHOLETTE SHAWN
DALLAS, TX
NPI
1124653233
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: TX DT84472)
Enumeration Date
2020-03-09
Last Update Date
2020-03-09
Business Address
NICHOLETTE SHAWN RD, LD
9535 FOREST LN
DALLAS, TX 75243-5900
Phone number: 817-793-1670
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Mailing Address
NICHOLETTE SHAWN RD, LD
1508 FLAMINGO DR
ARLINGTON, TX 76012-5513
Phone number: 817-793-1670
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