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Individual

DEIDRA C DEXTER-HINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
5131 E SOUTHERN AVE, MESA, AZ 85206-2799
(480) 833-5437
(480) 833-9349
Mailing address
1919 E THOMAS RD BLDG 2108, SUITE 101, PHOENIX, AZ 85016-7710
(602) 512-8029
(602) 512-8161

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
970698
AZ

Other

Enumeration date
08/02/2013
Last updated
08/02/2013
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