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Individual
JANET LARSEN DELOUGHERY
Active
Individual
JANET LARSEN DELOUGHERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.L.N.
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0263
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5540030
—
SD
05
—
5540100
—
SD
Enumeration date
07/20/2006
Last updated
07/09/2007
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