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1902682602
GINA CODUTO
SAN ANTONIO, TX
NPI
1902682602
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: TX DT88950)
Enumeration Date
2023-09-07
Last Update Date
2023-09-13
Business Address
GINA CODUTO RD
22426 CARRIAGE BUSH
SAN ANTONIO, TX 78261-4416
Phone number: 630-464-2209
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Mailing Address
GINA CODUTO RD
4530 BRIGGS DR SE APT 103A
OLYMPIA, WA 98501-5563
Phone number:
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