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1518146372
MARIVILLA EVANS
ST PETERSBURG, FL
NPI
1518146372
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133N00000X Nutritionist
(Licence: FL ND1270)
Enumeration Date
2007-10-29
Last Update Date
2007-10-29
Business Address
Prof. MARIVILLA EVANS LD
2400 67TH AVE S
ST PETERSBURG, FL 33712-5613
Phone number: 727-866-3739
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Mailing Address
Prof. MARIVILLA EVANS LD
2400 67TH AVE S
ST PETERSBURG, FL 33712-5613
Phone number: 727-866-3739
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