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1407347297
SUSAN BANUELOS SMITH
MESQUITE, TX
NPI
1407347297
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Former Name
SUSAN BANUELOS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: TX DT05851)
Enumeration Date
2018-05-29
Last Update Date
2022-09-23
Business Address
SUSAN BANUELOS SMITH MS RD LD CDE
5308 N GALLOWAY AVE STE 200
MESQUITE, TX 75150-1125
Phone number: 214-358-2300
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Mailing Address
SUSAN BANUELOS SMITH MS RD LD CDE
447 LAKEDALE DR
MURPHY, TX 75094-4289
Phone number: 469-734-0822
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