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Individual

JESSICA NICOLE STANTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
650 JOEL DR, BLANCHFIELD ARMY COMMUNITY HOSIPTAL, FORT CAMPBELL, KY 42223-5318
(270) 798-8077
Mailing address
5109 NOR BATH BLVD, NORTHAMPTON, PA 18067-9058
(610) 349-3851

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD002684
GA

Other

Enumeration date
03/28/2007
Last updated
07/08/2007
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