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1538716139
AMANDA RAE MACDONALD
FORT WORTH, TX
NPI
1538716139
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133VN1004X Dietitian, Registered, Nutrition, Pediatric
(Licence: TX DT83823)
Enumeration Date
2019-08-20
Last Update Date
2021-04-13
Business Address
AMANDA RAE MACDONALD RD
1500 COOPER ST
FORT WORTH, TX 76104-2710
Phone number: 682-885-1990
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Mailing Address
AMANDA RAE MACDONALD RD
PO BOX 733784
DALLAS, TX 75373-3784
Phone number: 682-885-1855
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