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Individual
JACLYN CHAMBERLAIN
Active
Individual
JACLYN CHAMBERLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
962664
AZ
133NN1002X
Nutrition Education Nutritionist
962664
AZ
133V00000X
Registered Dietitian
Primary
962664
AZ
133VN1004X
Pediatric Nutrition Registered Dietitian
962664
AZ
Other
Enumeration date
03/20/2015
Last updated
03/20/2015
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