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1891856019
ALLEN DOUGLAS SPROUL
WACO, TX
NPI
1891856019
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: TX DT07285)
Enumeration Date
2006-12-12
Last Update Date
2007-07-08
Business Address
-- ALLEN DOUGLAS SPROUL RD, LD, CDE
3000 HERRING AVE
WACO, TX 76708-3239
Phone number: 254-202-5954
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Mailing Address
-- ALLEN DOUGLAS SPROUL RD, LD, CDE
5901 DENMANS LOOP
BELTON, TX 76513-4751
Phone number: 254-939-0440
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