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1134224660
ELLEN SUSANNAH SOUTHERN
CHAPEL HILL, NC
NPI
1134224660
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Former Name
ELLEN SOUTHERN PRICE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: NC L002429)
Enumeration Date
2006-09-13
Last Update Date
2014-11-04
Business Address
Ms. ELLEN SUSANNAH SOUTHERN RD,LDN
590 MANNING DR ROOM 103
CHAPEL HILL, NC 27599-6119
Phone number: 919-966-6875
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Mailing Address
Ms. ELLEN SUSANNAH SOUTHERN RD,LDN
211 FRIDAY CENTER DRIVE, HEDRICK BUILDING SUITE 2091, ROOM 2102
CHAPEL HILL, NC 27517-9499
Phone number: 984-974-1186
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