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1578163507
TANISHA BETHEA
ATLANTA, GA
NPI
1578163507
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
Enumeration Date
2020-10-28
Last Update Date
2021-04-13
Business Address
TANISHA BETHEA RD, LD
400 NORTHRIDGE RD STE 600
ATLANTA, GA 30350-3354
Phone number: 800-225-4368
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Mailing Address
TANISHA BETHEA RD, LD
23580 ALESSANDRO BLVD # 8887
MORENO VALLEY, CA 92553-8802
Phone number: 202-689-5589
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