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1235635517
MALLORY FOSTER
CHARLOTTESVILLE, VA
NPI
1235635517
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: 86028750)
Enumeration Date
2018-04-04
Last Update Date
2018-04-04
Business Address
MALLORY FOSTER RD, CNSC
1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903-3363
Phone number: 434-243-0871
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Mailing Address
MALLORY FOSTER RD, CNSC
PO BOX 800673
CHARLOTTESVILLE, VA 22908-0673
Phone number:
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