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Individual
MS. LAURA SANDERS
Active
Individual
MS. LAURA SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,RD, LD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
828
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5Y288
MNT PROVIDER
AR
Enumeration date
06/29/2006
Last updated
01/07/2020
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