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Individual

MS. MICHELE DAWN REXROAD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD,LD

Contact information

Practice address
310 GEORGE ST, BECKLEY, WV 25801-2653
(304) 254-9022
Mailing address
RR 1 BOX 267C, FAYETTEVILLE, WV 25840-9755
(304) 465-0478

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
476
WV

Other

Enumeration date
09/29/2006
Last updated
07/08/2007
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