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1225673270
MARISHA LEAIRA BEAVER
CHARLOTTE, NC
NPI
1225673270
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: NC L005925)
Enumeration Date
2019-11-14
Last Update Date
2019-11-14
Business Address
MARISHA LEAIRA BEAVER RD
7004 SMITH CORNERS BLVD STE A
CHARLOTTE, NC 28269-3827
Phone number: 704-688-9650
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Mailing Address
MARISHA LEAIRA BEAVER RD
7004 SMITH CORNERS BLVD STE A
CHARLOTTE, NC 28269-3827
Phone number: 704-688-9650
Copy
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