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Individual

SEAN EGGLESTONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
REGISTERED DIETITIAN

Contact information

Practice address
3333 RIVERBEND DR, SPRINGFIELD, OR 97477-8800
(541) 222-1227
(541) 222-1227
Mailing address
1704 CARTER LN, SPRINGFIELD, OR 97477-3327
(215) 527-2522

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86070019

Other

Enumeration date
06/14/2017
Last updated
06/14/2017
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