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1144698945
STACIE B MCINTYRE
WEST COLUMBIA, SC
NPI
1144698945
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
Enumeration Date
2015-09-10
Last Update Date
2018-09-28
Business Address
STACIE B MCINTYRE
132 SUNSET CT
WEST COLUMBIA, SC 29169-2429
Phone number: 803-936-7450
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Mailing Address
STACIE B MCINTYRE
PO BOX 896239
CHARLOTTE, NC 28289-6239
Phone number: 803-936-7450
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