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1174108955
MARY ANN STODDARD
LOUISVILLE, KY
NPI
1174108955
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: KY 1340)
Enumeration Date
2021-03-13
Last Update Date
2021-03-13
Business Address
Mrs. MARY ANN STODDARD RD
1301 CLEAR SPRINGS TRCE
LOUISVILLE, KY 40223-3855
Phone number: 502-365-4627
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Mailing Address
Mrs. MARY ANN STODDARD RD
1002 SPRINGSIDE WAY
LOUISVILLE, KY 40223-3786
Phone number: 502-939-4465
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