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Organization
U.S. ARMY
Active
Organization
U.S. ARMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBIN VANBEVERHOUDT (CREDENTIALS OFFICE)
(912) 435-5687
Entity
Organization
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-5801
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
10173220-4901
UT
Other
Enumeration date
02/18/2017
Last updated
02/18/2017
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