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Individual

MRS. MARY LON DAVID

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, RD, LDN

Contact information

Practice address
1166 LEIGHS CHAPEL RD, COVINGTON, TN 38019-4508
(901) 476-2332
Mailing address
1166 LEIGHS CHAPEL RD, COVINGTON, TN 38019-4508
(901) 476-2332

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
00555081
TN

Other

Enumeration date
12/14/2010
Last updated
12/14/2010
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