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1821070863
AMBER GRAPEVINE
SAN ANTONIO, TX
NPI
1821070863
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: TX DT06583)
Enumeration Date
2005-11-16
Last Update Date
2007-07-08
Business Address
-- AMBER GRAPEVINE MS, RD
1303 MCCULLOUGH AVE SUITE GL 70
SAN ANTONIO, TX 78212-5609
Phone number: 210-226-9705
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Mailing Address
-- AMBER GRAPEVINE MS, RD
367 E RAMSEY RD
SAN ANTONIO, TX 78216-4636
Phone number: 210-349-9300
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