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1861766719
TARA SMITH
FORT POLK, LA
NPI
1861766719
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: LA 1778)
Enumeration Date
2012-02-23
Last Update Date
2012-02-23
Business Address
-- TARA SMITH RD, LDN
1585 3RD ST
FORT POLK, LA 71459-5102
Phone number: 337-531-3129
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Mailing Address
-- TARA SMITH RD, LDN
1585 3RD ST
FORT POLK, LA 71459-5102
Phone number: 337-531-3129
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