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Individual
JULIE DAVIS
Active
Individual
JULIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, RD, LD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DT81600
TX
363A00000X
Physician Assistant
Primary
PA14497
TX
Other
Enumeration date
03/12/2012
Last updated
01/10/2022
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