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1245402007
ANTHONY ANDREW DIVALENTIN
OHATCHEE, AL
NPI
1245402007
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: AL 1527)
Enumeration Date
2008-04-01
Last Update Date
2008-04-01
Business Address
Mr. ANTHONY ANDREW DIVALENTIN R.D., L.D.
6920 BOILING SPRINGS RD
OHATCHEE, AL 36271-6341
Phone number: 256-892-6779
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Mailing Address
Mr. ANTHONY ANDREW DIVALENTIN R.D., L.D.
6920 BOILING SPRINGS RD
OHATCHEE, AL 36271-6341
Phone number: 256-892-6779
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