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Individual
REBECCA VINCENT
Active
Individual
REBECCA VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD, CLC
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD000436
GA
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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