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1134114242
MARY DALE CORNETTA
MONROE, LA
NPI
1134114242
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: LA 1735)
Enumeration Date
2005-09-14
Last Update Date
2007-07-08
Business Address
Miss MARY DALE CORNETTA LDN, RD
309 JACKSON ST
MONROE, LA 71201-7407
Phone number: 318-327-4072
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Mailing Address
Miss MARY DALE CORNETTA LDN, RD
3100 DEBORAH DR
MONROE, LA 71201-2092
Phone number: 318-537-3058
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