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1518187749
MARY H BOHANNON
GAINESVILLE, FL
NPI
1518187749
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: FL ND00000297)
Enumeration Date
2007-04-30
Last Update Date
2011-07-20
Business Address
Ms. MARY H BOHANNON RD LDN
4001 NEWBERRY RD SUITE C IV
GAINESVILLE, FL 32607
Phone number: 352-374-4449
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Mailing Address
Ms. MARY H BOHANNON RD LDN
12208 SW 16TH ST
MICANOPY, FL 32667
Phone number: 352-466-3864
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