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Individual

MARK CHIPMAN DOBSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DTR

Taxonomy

Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NA
NONE
Enumeration date
12/30/2018
Last updated
12/30/2018
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