Individual
DEBERA JEAN GOBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD, CDE
Contact information
Practice address
9100 W 74TH ST, SHAWNEE MISSION, KS 66204-4004
(913) 676-2495
(913) 676-2511
Mailing address
300 E 220TH ST, BELTON, MO 64012-9270
(816) 618-7012
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
159
KS
Other
Enumeration date
04/07/2010
Last updated
04/07/2010
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