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Individual
DIANE NICOLE WEAVER
Active
Individual
DIANE NICOLE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
6453
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6453
DIETETIC LICENSE
OH
01
—
988360
DIETETIC REGISTRATION
OH
Enumeration date
11/05/2009
Last updated
11/05/2009
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