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Individual

MRS. NICOLE WADE MCLAURIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, LD/N

Contact information

Practice address
7859 LAKE WORTH RD, LAKE WORTH, FL 33467-3225
(561) 373-0163
Mailing address
631 US HIGHWAY 1 STE 304, NORTH PALM BEACH, FL 33408-4620
(561) 465-1400

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
7501
FL
133V00000X
Registered Dietitian
Primary
86026773
FL

Other

Enumeration date
08/08/2017
Last updated
08/08/2017
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