Individual
DEBORAH ANN DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2175 IL ROUTE 29, EDINBURG, IL 62531-8291
(217) 623-4505
(217) 623-4506
Mailing address
2175 IL ROUTE 29, P. O. BOX 303, EDINBURG, IL 62531-8291
(217) 623-4505
(217) 623-4506
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.005019
IL
Other
Enumeration date
03/04/2009
Last updated
03/04/2009
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