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Individual

CAROL PAULANNE BUOL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, LD, CDE

Contact information

Practice address
500 W MAIN ST, LEWISVILLE, TX 75057-3641
(972) 420-1091
(972) 420-1891
Mailing address
826 CHALFONT PL, COPPELL, TX 75019-2874
(972) 393-1903

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT05459
TX

Other

Enumeration date
05/01/2012
Last updated
05/01/2012
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