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Individual

STEPHANIE R BURKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, RD, LD, CLC

Contact information

Practice address
5348 EDGER DR, CINCINNATI, OH 45239-7737
(513) 385-5655
Mailing address
5348 EDGER DR, CINCINNATI, OH 45239-7737
(513) 385-5655

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
5446
OH

Other

Enumeration date
12/04/2008
Last updated
12/04/2008
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