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1174029706
LESLIE G BAGBY
AUSTIN, TX
NPI
1174029706
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: TX 00880)
Enumeration Date
2018-04-03
Last Update Date
2019-01-17
Business Address
LESLIE G BAGBY RDN
1430 COLLIER ST
AUSTIN, TX 78704-2911
Phone number: 512-680-0440
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Mailing Address
LESLIE G BAGBY RDN
1430 COLLIER ST
AUSTIN, TX 78704-2911
Phone number: 512-680-0440
Copy
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