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Individual
MS. AMY LYNN WILCOXON
Active
Individual
MS. AMY LYNN WILCOXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN0000351
DE
133VN1004X
Pediatric Nutrition Registered Dietitian
DN0000351
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
418570600
—
MD
Enumeration date
09/04/2009
Last updated
01/05/2012
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