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Individual

MARIE HARVIN NYBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, LDN

Contact information

Practice address
301 N HERMAN ST, BOX CC WIC, GOLDSBORO, NC 27530-2973
(919) 731-1222
Mailing address
301 N HERMAN ST, BOX CC WIC, GOLDSBORO, NC 27530-2973
(919) 731-1222

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
L002976
NC

Other

Enumeration date
12/18/2007
Last updated
07/14/2009
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