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Individual

PROF. RAQUEL DURBAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RD, LDN

Contact information

Practice address
2600 E 7TH ST UNIT A, CHARLOTTE, NC 28204-4398
(704) 372-7900
Mailing address
2600 E 7TH ST UNIT A, CHARLOTTE, NC 28204-4398
(704) 372-7900
(704) 376-2216

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1075612
NC

Other

Enumeration date
06/04/2012
Last updated
05/25/2021
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