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1992213193
KATHLEEN TUCKER
CHARLOTTE, NC
NPI
1992213193
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: NC L005193)
Enumeration Date
2018-01-22
Last Update Date
2024-07-15
Business Address
KATHLEEN TUCKER RD
4525 CAMERON VALLEY PKWY STE 4100
CHARLOTTE, NC 28211-4369
Phone number: 704-302-9462
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Mailing Address
KATHLEEN TUCKER RD
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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