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1538793450
CARLENE NATHLEE WELLES
PHILADELPHIA, PA
NPI
1538793450
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: PA dn003586)
Enumeration Date
2020-02-29
Last Update Date
2020-02-29
Business Address
CARLENE NATHLEE WELLES
1512 SOUTH ST
PHILADELPHIA, PA 19146-1636
Phone number: 267-239-5637
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Mailing Address
CARLENE NATHLEE WELLES
1424 KENILWORTH ST
PHILADELPHIA, PA 19146-2208
Phone number: 267-239-5637
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