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1417665977
LYDIA AVERETTE
RALEIGH, NC
NPI
1417665977
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: 86097049)
Enumeration Date
2022-11-14
Last Update Date
2022-11-14
Business Address
LYDIA AVERETTE RD
9216 BAILEYWICK RD
RALEIGH, NC 27615-1907
Phone number: 919-215-3583
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Mailing Address
LYDIA AVERETTE RD
5622 DARROW DR
RALEIGH, NC 27612-2523
Phone number:
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