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1376279513
KIM SHACKLEFORD
RALEIGH, NC
NPI
1376279513
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Former Name
KIM SHACKLEFORD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133N00000X Nutritionist
Enumeration Date
2022-07-29
Last Update Date
2022-07-29
Business Address
Ms. KIM SHACKLEFORD FNTP
3830 CASEY LEIGH LN
RALEIGH, NC 27612-4258
Phone number: 919-427-5946
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Mailing Address
Ms. KIM SHACKLEFORD FNTP
3830 CASEY LEIGH LN
RALEIGH, NC 27612-4258
Phone number: 919-427-5946
Copy
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