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1952189144
KELLIE BROOKE HASKINS
ROANOKE, VA
NPI
1952189144
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: 86155963)
Enumeration Date
2023-09-19
Last Update Date
2023-09-19
Business Address
KELLIE BROOKE HASKINS RD
3 RIVERSIDE CIR
ROANOKE, VA 24016-4955
Phone number: 540-224-5170
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Mailing Address
KELLIE BROOKE HASKINS RD
176 BROAD ST APT 411
DALEVILLE, VA 24083-1176
Phone number: 540-354-1998
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