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1790017259
HEATHER K MACKIE
CHARLOTTE, NC
NPI
1790017259
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: NC L002955)
Enumeration Date
2010-02-09
Last Update Date
2010-02-09
Business Address
-- HEATHER K MACKIE RD
2300 RANDOLPH RD
CHARLOTTE, NC 28207-1562
Phone number: 704-347-4144
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Mailing Address
-- HEATHER K MACKIE RD
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone number: 704-384-7840
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