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1518105683
DAVID FOX TALLEY
KINGSPORT, TN
NPI
1518105683
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: TN 2064)
Enumeration Date
2009-01-28
Last Update Date
2009-09-23
Business Address
-- DAVID FOX TALLEY RD
105 W STONE DR STE 2D
KINGSPORT, TN 37660-3256
Phone number: 423-578-1588
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Mailing Address
-- DAVID FOX TALLEY RD
PO BOX 9
KINGSPORT, TN 37662-0009
Phone number: 423-857-2066
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