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Individual

MRS. ALLISON GILLEY THROWER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD, LD

Contact information

Practice address
1935 MEDICAL DISTRICT DR, CLINICAL NUTRITION, DALLAS, TX 75235-7701
(214) 456-6287
Mailing address
9039 WINDY CREST DR, DALLAS, TX 75243-6218
(817) 657-5877

Taxonomy

Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
DT81084
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
993748
RD
01
DT81084
LD
TX
Enumeration date
11/20/2015
Last updated
11/20/2015
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