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1245310333
LOWELL RAE MATLOCK
PLANO, TX
NPI
1245310333
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: IL 881008)
Enumeration Date
2006-10-16
Last Update Date
2014-02-04
Business Address
-- LOWELL RAE MATLOCK R.D.
4001 HATHERLY DR
PLANO, TX 75023-5034
Phone number: 214-499-8664
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Mailing Address
-- LOWELL RAE MATLOCK R.D.
4001 HATHERLY DR
PLANO, TX 75023-5034
Phone number: 214-499-8664
Copy
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