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1376139204
ELLEN P GANDER
RALEIGH, NC
NPI
1376139204
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: NC LOO4531)
Enumeration Date
2020-12-15
Last Update Date
2020-12-15
Business Address
ELLEN P GANDER RD, LDN, CEDRD-S
1042 WASHINGTON ST
RALEIGH, NC 27605-1258
Phone number: 919-781-4500
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Mailing Address
ELLEN P GANDER RD, LDN, CEDRD-S
5944 DUNBARTON WAY
RALEIGH, NC 27613-6856
Phone number: 513-293-8506
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