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1578863908
AMANDA STAVINOHA
DALLAS, TX
NPI
1578863908
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133VN1004X Dietitian, Registered, Nutrition, Pediatric
(Licence: TX DT81013)
Enumeration Date
2010-11-02
Last Update Date
2019-09-09
Business Address
Ms. AMANDA STAVINOHA RD, LD
1935 MEDICAL DISTRICT DR CLINICAL NUTRITION
DALLAS, TX 75235-7701
Phone number: 214-456-7655
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Mailing Address
Ms. AMANDA STAVINOHA RD, LD
6419 DEL NORTE LN
DALLAS, TX 75225-2618
Phone number:
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