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Individual
MRS. SALLYANNE AMATO
Active
Individual
MRS. SALLYANNE AMATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,RD,LD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
196
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
576000286
SC DEPT OF HEALTH AND ENVIRONMENTAL CONTROL
SC
Enumeration date
06/27/2014
Last updated
07/01/2014
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