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Individual
SEDREK CHILDRESS
Active
Individual
SEDREK CHILDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CERTIFIED NUTRITIONI
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
79170
FL
133N00000X
Nutritionist
79170
FL
133NN1002X
Nutrition Education Nutritionist
Primary
79170
FL
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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