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Individual
ASHLEY L. BUBERT
Active
Individual
ASHLEY L. BUBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
DT06655
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8F5986
MEDICARE INDIVIDUAL PTAN
TX
Enumeration date
06/08/2007
Last updated
12/11/2007
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