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Individual
MRS. SHAUNA CLARK MUGAVERO
Active
Individual
MRS. SHAUNA CLARK MUGAVERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
961082
IL
133V00000X
Registered Dietitian
Primary
DN004614
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
961082
RD CERTIFICATION NUMBER
IL
Enumeration date
09/14/2006
Last updated
03/27/2014
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