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1629221486
LEA RUSSELL SHAPPEE
ST PETERSBURG, FL
NPI
1629221486
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Professional Name
LEA RUSSELL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: FL 5398)
Enumeration Date
2008-10-24
Last Update Date
2008-10-24
Business Address
-- LEA RUSSELL SHAPPEE RD, LD/N
10851 MANGROVE CAY LN NE UNIT 912
ST PETERSBURG, FL 33716-4212
Phone number: 727-822-6633
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Mailing Address
-- LEA RUSSELL SHAPPEE RD, LD/N
10851 MANGROVE CAY LN NE UNIT 912
ST PETERSBURG, FL 33716-4212
Phone number: 727-822-6633
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