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Organization
KAILO NUTRITION
Active
Organization
KAILO NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEATHER BORDERS RD, LD/N (OWNER)
(904) 250-0910
Entity
Organization
Contact information
Practice address
353 B 6TH STREET SOUTH, JACKSONVILLE, FL 32250
(904) 250-0910
Mailing address
353 6TH AVE S, JACKSONVILLE, FL 32250-5219
(904) 250-0910
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/30/2017
Last updated
03/16/2020
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