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Individual

NATALIE PHEGLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
1 JEFFERSON BARRACKS DR, SAINT LOUIS, MO 63125-4181
(314) 652-4100
Mailing address
410 BEAIRD ST, COLUMBIA, IL 62236-1809

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164006935
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
370966854002
IL
Enumeration date
10/24/2016
Last updated
06/12/2024
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