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Individual
NANCY JO WEBER
Active
Individual
NANCY JO WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBA, RD, CDE, CSR, L
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
LD001180
GA
133VN1005X
Renal Nutrition Registered Dietitian
R605535
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
179
SC LICENSE
SC
Enumeration date
07/24/2006
Last updated
12/05/2016
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