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Individual

MRS. KANDY M PEARSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD, CDE

Contact information

Practice address
109 AMANDA DR, OAK RIDGE, TN 37830-7813
(865) 482-7052
Mailing address
109 AMANDA DR, OAK RIDGE, TN 37830-7813
(865) 482-7052

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN0000000693
TN

Other

Enumeration date
08/30/2007
Last updated
08/30/2007
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