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Individual

HALEY L SEWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
REGISTERED DIETITION

Contact information

Practice address
353 HIGHWAY 15 N, PONTOTOC, MS 38863-1103
(662) 490-1985
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-2534
(870) 347-1235

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
MS

Other

Enumeration date
10/28/2021
Last updated
10/28/2021
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