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Individual
MRS. OLIVIA HAEBERLE
Active
Individual
MRS. OLIVIA HAEBERLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD/LD
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
002719
GA
133V00000X
Registered Dietitian
Primary
002719
GA
133VN1005X
Renal Nutrition Registered Dietitian
002719
GA
133VN1006X
Metabolic Nutrition Registered Dietitian
002719
GA
174200000X
Meals Provider
002719
GA
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
002719
GA
261QH0100X
Health Service Clinic/Center
002719
GA
261QP0904X
Federal Public Health Clinic/Center
002719
GA
282E00000X
Long Term Care Hospital
002719
GA
282N00000X
General Acute Care Hospital
002719
GA
405300000X
Prevention Professional
002719
GA
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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