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1255944716
CORETTA QUEEN CHAFFIN
CHARLOTTE, NC
NPI
1255944716
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Former Name
CORETTA QUEEN CLEMMONS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: NC 810909)
Enumeration Date
2020-08-25
Last Update Date
2020-09-16
Business Address
CORETTA QUEEN CHAFFIN
7940 WILLIAMS POND LN STE 150
CHARLOTTE, NC 28277-8409
Phone number: 704-247-8355
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Mailing Address
CORETTA QUEEN CHAFFIN
3717 OLD WAGON RD
CHARLOTTE, NC 28269-1994
Phone number: 704-562-5331
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