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1144786583
STEPHANIE LYNN SMITH
FAIRFAX, VA
NPI
1144786583
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: 1031447)
Enumeration Date
2019-02-11
Last Update Date
2020-10-07
Business Address
STEPHANIE LYNN SMITH RDN, IBCLC
4375 FAIR LAKES CT
FAIRFAX, VA 22033-4234
Phone number: 571-432-2669
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Mailing Address
STEPHANIE LYNN SMITH RDN, IBCLC
4375 FAIR LAKES CT
FAIRFAX, VA 22033-4234
Phone number: 571-432-2669
Copy
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