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1235905845
THE DIETITIAN DOCTOR, LLC
CABOT, AR
NPI
1235905845
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Entity Type
Organization
Authorized Contact
KINDANN MCMAHAN STONE FAWCETT
CEO/Owner
501-605-0310
Organization Subpart ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
Enumeration Date
2023-11-27
Last Update Date
2024-04-10
Business Address
THE DIETITIAN DOCTOR, LLC
305 E MAIN ST
CABOT, AR 72023-3034
Phone number: 501-605-0310
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Mailing Address
THE DIETITIAN DOCTOR, LLC
PO BOX 100
AUSTIN, AR 72007-0100
Phone number: 501-605-3683
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