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1508880865
KATHLEEN EVANS
MELBOURNE, FL
NPI
1508880865
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133NN1002X Nutritionist, Nutrition, Education
(Licence: FL ND970)
Enumeration Date
2006-07-27
Last Update Date
2012-03-06
Business Address
Ms. KATHLEEN EVANS
95 BULLDOG BLVD STE 101
MELBOURNE, FL 32901-3332
Phone number: 321-722-9731
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Mailing Address
Ms. KATHLEEN EVANS
95 BULLDOG BLVD STE 202
MELBOURNE, FL 32901-3332
Phone number: 321-727-2990
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