Deborah Ann Durham RD

NPI 1649410689 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1649410689
Gender Female
Enumeration Date 03/04/2009
Last Updated 03/04/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
2175 IL ROUTE 29
EDINBURG IL, 62531-8291, US
Phone (217) 623-4505
Fax (217) 623-4506
Business Location
2175 IL ROUTE 29
P. O. BOX 303
EDINBURG IL, 62531-8291, US
Phone (217) 623-4505
Fax (217) 623-4506
Toxanomy
Taxonomy Code 133V00000X
License State Illinois
License Number 164.005019
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According to our database, Deborah Ann Durham RD NPI is 1649410689, taxonomy code is 133V00000X and license number is 164.005019, license state is located at Illinois. Deborah Ann Durham RD physically located at 2175 Il Route 29, Edinburg IL, 62531-8291. NPI Number Deborah Ann Durham RD has the Individual type.

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1649410689 NPI number is provided on an as is basis without warranty of any kind. 1649410689 is maintained by the National Plan & Provider Enumeration System. The contents of Deborah Ann Durham RD are for informational purposes only.