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1134472145
LAURA DEANE
FORT WORTH, TX
NPI
1134472145
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: TX DT80442)
Enumeration Date
2012-10-16
Last Update Date
2012-10-16
Business Address
Mrs. LAURA DEANE MS, RD, LD
1208 W MAGNOLIA AVE 200
FORT WORTH, TX 76104-4472
Phone number: 817-995-9368
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Mailing Address
Mrs. LAURA DEANE MS, RD, LD
6333 PINIONPARK WAY
FORT WORTH, TX 76179-7751
Phone number: 817-995-9368
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