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1558688630
TARA HOUCK
LA JOLLA, CA
NPI
1558688630
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: 886897)
Enumeration Date
2010-04-28
Last Update Date
2010-04-28
Business Address
-- TARA HOUCK RD
9894 GENESEE AVE
LA JOLLA, CA 92037-1235
Phone number: 858-626-5066
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Mailing Address
-- TARA HOUCK RD
FILE # 54433
LOS ANGELES, CA 90074-0001
Phone number: 858-784-5645
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