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Individual
MS. ERIN BOHANNAN
Active
Individual
MS. ERIN BOHANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDN
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164-004611
IL
Other
Enumeration date
11/20/2008
Last updated
11/20/2008
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