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1306482567
SHANNON C SPADA
ALEXANDRIA, VA
NPI
1306482567
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: VA 870980)
Enumeration Date
2019-11-22
Last Update Date
2019-11-22
Business Address
SHANNON C SPADA RD
2501 PARKERS LN
ALEXANDRIA, VA 22306-3209
Phone number: 703-664-7425
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Mailing Address
SHANNON C SPADA RD
6943 CONSERVATION DR
SPRINGFIELD, VA 22153-1015
Phone number: 605-484-4894
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