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Individual
MRS. KAREN JEAN GLEASON
Active
Individual
MRS. KAREN JEAN GLEASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
L002584
NC
133NN1002X
Nutrition Education Nutritionist
L002584
NC
133V00000X
Registered Dietitian
Primary
L002584
NC
133VN1004X
Pediatric Nutrition Registered Dietitian
L002584
NC
133VN1005X
Renal Nutrition Registered Dietitian
L002584
NC
Other
Enumeration date
04/29/2013
Last updated
08/30/2016
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