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Individual
MR. MICHAEL SHANE LOVE
Active
Individual
MR. MICHAEL SHANE LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C-EP
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
1024667
NULL
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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