Individual
DEBORAH LYNN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDLD
Contact information
Practice address
2980 SE 3RD CT, OCALA, FL 34471-0421
(352) 622-4231
(352) 622-0513
Mailing address
2980 SE 3RD CT, OCALA, FL 34471-0421
(352) 622-4231
(352) 622-0513
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND1679
FL
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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