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1265026918
TERESA MARIE HAUSENBAUER
SANTA MONICA, CA
NPI
1265026918
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: IL 709753)
Enumeration Date
2021-02-23
Last Update Date
2021-02-23
Business Address
TERESA MARIE HAUSENBAUER RD
2633 6TH ST APT 1
SANTA MONICA, CA 90405-4448
Phone number: 310-663-7893
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Mailing Address
TERESA MARIE HAUSENBAUER RD
2633 6TH ST APT 1
SANTA MONICA, CA 90405-4448
Phone number: 310-663-7893
Copy
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