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Individual

MRS. DEBRA ANN INDORATO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD CLT

Contact information

Practice address
524 VANDERBILT AVE, VIRGINIA BEACH, VA 23451-3667
(757) 343-8873
(757) 961-7612
Mailing address
524 VANDERBILT AVE., VIRGINIA BEACH, VA 23451
(757) 343-8873
(757) 961-7612

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
04/23/2010
Last updated
04/23/2010
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