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Individual

REBECCA WEITZEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
118 4TH ST, LIBERTYVILLE, IL 60048-2308
(216) 906-5496
Mailing address
118 4TH ST, LIBERTYVILLE, IL 60048-2308
(216) 906-5496

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
11/29/2012
Last updated
11/29/2012
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