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1316372709
KATIE RENE BLACK
TAMPA, FL
NPI
1316372709
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
Enumeration Date
2013-09-05
Last Update Date
2019-12-03
Business Address
Mrs. KATIE RENE BLACK RD
13000 BRUCE B DOWNS BLVD
TAMPA, FL 33612-4745
Phone number: 813-972-2000
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Mailing Address
Mrs. KATIE RENE BLACK RD
1841 BEARBERRY CIR APT 203
LUTZ, FL 33559-8772
Phone number: 775-857-9136
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