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1366061913
AMELIA TAVARES
MONTANA CITY, MT
NPI
1366061913
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
Additional Taxonomies
174N00000X Lactation Consultant, Non-RN
Enumeration Date
2020-04-14
Last Update Date
2020-04-14
Business Address
AMELIA TAVARES
1 VALLEY VIEW DR STE 104
MONTANA CITY, MT 59634-9203
Phone number: 406-459-6092
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Mailing Address
AMELIA TAVARES
1188 GALESMORE CT
WESTLAKE VILLAGE, CA 91361-1647
Phone number: 209-402-1402
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