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1215192505
DIANE MCKINNEY JOHNSON
FAYETTEVILLE, AR
NPI
1215192505
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: AR 0139)
Enumeration Date
2008-07-25
Last Update Date
2008-07-25
Business Address
-- DIANE MCKINNEY JOHNSON M.S.R.D.L.D.
118 E SUNBRIDGE DR
FAYETTEVILLE, AR 72703-2830
Phone number: 479-444-1400
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Mailing Address
-- DIANE MCKINNEY JOHNSON M.S.R.D.L.D.
118 E SUNBRIDGE DR
FAYETTEVILLE, AR 72703-2830
Phone number: 479-444-1400
Copy
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