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Individual

REBECCA PAQUETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
550 POPE AVE, FORT LEAVENWORTH, KS 66027-2332
(936) 671-1906
Mailing address
158 HOLLOWELL DR, FORT LEAVENWORTH, KS 66027-1105
(936) 671-1906

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
12/12/2019
Last updated
10/03/2024
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