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1982187571
ELIZABETH BLACK SMITH
CHARLOTTE, NC
NPI
1982187571
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: NC L005574)
Enumeration Date
2018-09-11
Last Update Date
2019-02-19
Business Address
ELIZABETH BLACK SMITH RD, LDN
5821 FAIRVIEW ROAD SUITE 216
CHARLOTTE, NC 28209
Phone number: 980-224-3514
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Mailing Address
ELIZABETH BLACK SMITH RD, LDN
5821 FAIRVIEW ROAD SUITE 216
CHARLOTTE, NC 28209
Phone number: 980-224-3514
Copy
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