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Individual

MS. CASEY BONANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, LD, CEDS-S

Contact information

Practice address
14651 DALLAS PKWY STE 132, DALLAS, TX 75254-8864
(817) 454-4801
Mailing address
14651 DALLAS PKWY STE 132, DALLAS, TX 75254-8864
(817) 454-4801

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT82114
TX

Other

Enumeration date
02/01/2013
Last updated
04/13/2023
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