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Individual

MRS. SUSAN MARIE HULETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS RD LDN

Contact information

Practice address
1088 ROGERS RD, CORDOVA, TN 38018-8546
(901) 755-1396
Mailing address
2087 SPRING HOLLOW LANE, GERMANTOWN, TN 38139
(901) 757-2090

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0000548
TN

Other

Enumeration date
03/03/2011
Last updated
03/03/2011
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