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Individual
MARJORIE REDAN
Active
Individual
MARJORIE REDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., L.D.N.
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN000412
PA
133VN1004X
Pediatric Nutrition Registered Dietitian
DN000412
PA
133VN1006X
Metabolic Nutrition Registered Dietitian
DN000412
PA
Other
Enumeration date
12/28/2012
Last updated
12/28/2012
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