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Individual

AVERY DEWEESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDN, LD

Contact information

Practice address
123 N CHARLES ST, LIMA, OH 45805-2717
(567) 441-8323
Mailing address
123 N CHARLES ST, LIMA, OH 45805-2717

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86345241
133V00000X
Registered Dietitian
Primary
LD.10268
OH

Other

Enumeration date
02/03/2026
Last updated
04/20/2026
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