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1407501133
MELANIE GRACE BASEL
AUSTIN, TX
NPI
1407501133
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Former Name
MELANIE GRACE MARTIN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: TX DT83808)
Enumeration Date
2022-02-22
Last Update Date
2022-02-22
Business Address
MELANIE GRACE BASEL RD, LD
6835 AUSTIN CENTER BLVD
AUSTIN, TX 78731-3189
Phone number: 512-346-6611
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Mailing Address
MELANIE GRACE BASEL RD, LD
439 DRURY LN
AUSTIN, TX 78737-4669
Phone number: 512-659-3090
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