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Individual
SHANNA K CARR
Active
Individual
SHANNA K CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED DIETICIAN
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2001000001
MO
Other
Enumeration date
10/05/2006
Last updated
08/31/2026
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