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1235446998
CAROLINE SULLIVAN
FORT WORTH, TX
NPI
1235446998
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: TX DT80593)
Enumeration Date
2010-09-01
Last Update Date
2023-10-19
Business Address
Mrs. CAROLINE SULLIVAN RD
2624 WILLING AVE
FORT WORTH, TX 76110-3032
Phone number: 281-513-1602
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Mailing Address
Mrs. CAROLINE SULLIVAN RD
2624 WILLING AVE
FORT WORTH, TX 76110-3032
Phone number: 281-513-1602
Copy
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