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1982311809
DIETITIAN SERVICES LLC
MATTHEWS, NC
NPI
1982311809
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Entity Type
Organization
Authorized Contact
JASON RUSSO
Owner Manager
704-277-9059
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2022-10-31
Last Update Date
2022-10-31
Business Address
DIETITIAN SERVICES LLC
1315 MATTHEWS MINT HILL RD STE B
MATTHEWS, NC 28105-2694
Phone number: 704-277-9059
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Mailing Address
DIETITIAN SERVICES LLC
12113 LANDEN DR
CHARLOTTE, NC 28277-4664
Phone number:
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