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Individual
DEREK EBBERS
Active
Individual
DEREK EBBERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
NULL
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
Primary
—
NULL
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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