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1457984478
TARA LAVELLE
CHARLOTTE, NC
NPI
1457984478
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
Enumeration Date
2020-02-18
Last Update Date
2020-02-18
Business Address
TARA LAVELLE RD, LDN
5434 DOCKERY DR
CHARLOTTE, NC 28209-3672
Phone number: 908-489-5726
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Mailing Address
TARA LAVELLE RD, LDN
5434 DOCKERY DR
CHARLOTTE, NC 28209-3672
Phone number:
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