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Individual
MRS. MAGNOLIA UMALI RUSSELL
Active
Individual
MRS. MAGNOLIA UMALI RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN,LD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2353
SC
133V00000X
Registered Dietitian
LD005992
GA
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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