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1528604113
KELLY SHAUGHNESSY
ENCINITAS, CA
NPI
1528604113
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: CA 1073135)
Enumeration Date
2019-11-19
Last Update Date
2023-05-10
Business Address
KELLY SHAUGHNESSY RD BS
749 TEABERRY ST
ENCINITAS, CA 92024-3353
Phone number: 661-993-8710
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Mailing Address
KELLY SHAUGHNESSY RD BS
3724 JEFFERSON ST STE 104
AUSTIN, TX 78731-6204
Phone number: 512-693-7045
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