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1831808385
KATIE RUSSO
HUMBLE, TX
NPI
1831808385
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: TX DT86206)
Enumeration Date
2022-11-22
Last Update Date
2022-11-22
Business Address
KATIE RUSSO RD, LD
18839 MCKAY DR
HUMBLE, TX 77338-5721
Phone number: 281-446-3655
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Mailing Address
KATIE RUSSO RD, LD
16624 LONELY PINES DR
CONROE, TX 77302-8315
Phone number: 281-728-4020
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