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1922093038
VIVIAN DALE SKAINS
MONROE, LA
NPI
1922093038
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: LA 642)
Enumeration Date
2005-09-14
Last Update Date
2007-07-08
Business Address
-- VIVIAN DALE SKAINS R.D.
309 JACKSON ST
MONROE, LA 71201-7407
Phone number: 318-327-4000
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Mailing Address
-- VIVIAN DALE SKAINS R.D.
416 PEBBLE DR
JONESBORO, LA 71251-5100
Phone number: 318-259-1204
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