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ROBERT ANELLO RD

>> Dietitian, Registered >> Dietary & Nutritional Service Providers

Registrant NPI Number: 1174043590

Individual Registrant:
 ROBERT  ANELLO RD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
915 GORDON AVE  THOMASVILLE, GA 31792-6614 US
Tel: 229-228-2442  Fax: --

Contact information for business:
2801 CHANCELLORSVILLE DR APT 323  TALLAHASSEE, FL 32312-4817 US
Tel: 513-728-9495  Fax: --

Registration Information:
NPI: 1174043590
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N133V00000XDietary & Nutritional Service Providers
Dietitian, Registered
1104928
Y133V00000XDietary & Nutritional Service Providers
Dietitian, Registered
GA004899

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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