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Individual

MS. CYNTHIA ROSE WILSON

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
RD LMNT

Contact information

Practice address
450 E 23RD ST, FREMONT, NE 68025-2303
(402) 721-1610
(402) 727-3433
Mailing address
450 E 23RD ST, FREMONT, NE 68025-2303
(402) 721-1610
(402) 727-3433

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
410
NE

Other

Enumeration date
05/27/2006
Last updated
07/08/2007
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