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1376990333
KELLI SHALLAL
GILBERT, AZ
NPI
1376990333
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: AZ 86003199)
Enumeration Date
2016-05-19
Last Update Date
2022-08-22
Business Address
KELLI SHALLAL RD
2574 E JASPER DR
GILBERT, AZ 85296-8914
Phone number: 602-299-6006
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Mailing Address
KELLI SHALLAL RD
2574 E JASPER DR
GILBERT, AZ 85296-8914
Phone number:
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