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1629394341
ANGELA MARIE WALLICK
MEMPHIS, TN
NPI
1629394341
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: TN LDN0000002149)
Enumeration Date
2010-04-20
Last Update Date
2016-12-18
Business Address
Miss ANGELA MARIE WALLICK M.S., R.D.N, L.D.N.
4515 POPLAR AVE STE 303
MEMPHIS, TN 38117-7507
Phone number: 330-495-6402
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Mailing Address
Miss ANGELA MARIE WALLICK M.S., R.D.N, L.D.N.
2164 NELSON AVE
MEMPHIS, TN 38104-5760
Phone number: 330-495-6402
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