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1316194095
NICOLE WYNNE
LAFAYETTE, LA
NPI
1316194095
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: LA 1770)
Enumeration Date
2008-08-25
Last Update Date
2008-08-25
Business Address
NICOLE WYNNE R.D.
200 EDIE ANN DR
LAFAYETTE, LA 70508-5325
Phone number: 337-739-0293
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Mailing Address
NICOLE WYNNE R.D.
200 EDIE ANN DR
LAFAYETTE, LA 70508-5325
Phone number: 337-739-0293
Copy
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