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1578607255
MARY ELLEN P AUTRY
AUSTIN, TX
NPI
1578607255
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: TX DT04637)
Enumeration Date
2007-02-16
Last Update Date
2008-01-31
Business Address
-- MARY ELLEN P AUTRY RD
12221 MOPAC EXPRESSWAY NORTH
AUSTIN, TX 78758-2483
Phone number: 512-901-4005
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Mailing Address
-- MARY ELLEN P AUTRY RD
12221 MOPAC EXPRESSWAY NORTH
AUSTIN, TX 78758-2483
Phone number: 512-901-4005
Copy
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