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Individual

MRS. DEBORAH SUE EBERLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD LDN

Contact information

Practice address
104 PARKVIEW DR, SUITE 1, KITTANNING, PA 16201-7105
(844) 328-9473
(724) 545-7233
Mailing address
104 PARKVIEW DR, SUITE 1, KITTANNING, PA 16201-7105
(844) 328-9473
(724) 545-7233

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
DN002339
PA
133V00000X
Registered Dietitian
Primary
DN002339
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101187023
PA
Enumeration date
05/16/2006
Last updated
12/01/2014
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