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1750049995
ALEXANDRA RENEA NUSSBAUMER GARDNER
KNOXVILLE, TN
NPI
1750049995
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Former Name
ALEXANDRA RENEA NUSSBAUMER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: TN 4200)
Enumeration Date
2021-12-06
Last Update Date
2023-02-16
Business Address
ALEXANDRA RENEA NUSSBAUMER GARDNER RDN, LDN, CLC
6829 MOUNTAIN SHADOW DR
KNOXVILLE, TN 37918-6317
Phone number: 865-659-1696
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Mailing Address
ALEXANDRA RENEA NUSSBAUMER GARDNER RDN, LDN, CLC
829 S CIRCLE DR APT 110D
COLORADO SPRINGS, CO 80910-2338
Phone number: 865-659-1696
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