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Individual
LINDA R GWALTNEY
Active
Individual
LINDA R GWALTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RD LD CDE
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D0251
MS
133V00000X
Registered Dietitian
LD002453
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00882818
—
MS
Enumeration date
08/03/2010
Last updated
08/24/2020
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