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1891418547
MALLORY ANNE LONGWELL
AUSTIN, TX
NPI
1891418547
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: TX DT87204)
Enumeration Date
2022-09-19
Last Update Date
2022-09-19
Business Address
Ms. MALLORY ANNE LONGWELL MS, RD, LD
5225 N LAMAR BLVD
AUSTIN, TX 78751-1820
Phone number: 512-472-4357
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Mailing Address
Ms. MALLORY ANNE LONGWELL MS, RD, LD
2425 ASHDALE DR APT 40
AUSTIN, TX 78757-8151
Phone number: 913-593-1409
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