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1902576135
NICAELA DURELLE HAVALA
DALLAS, TX
NPI
1902576135
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: TX DT86109)
Enumeration Date
2021-09-18
Last Update Date
2021-09-18
Business Address
Mrs. NICAELA DURELLE HAVALA RD, LD
5301 ALPHA RD STE 80-23
DALLAS, TX 75240-4355
Phone number: 972-821-9557
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Mailing Address
Mrs. NICAELA DURELLE HAVALA RD, LD
5301 ALPHA RD STE 80-23
DALLAS, TX 75240-4355
Phone number: 972-821-9557
Copy
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