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JACQUELINE EDGERLY NTP

Nutrition, Education >> Nutritionist >> Dietary & Nutritional Service Providers

Registrant NPI Number: 1881272888

Individual Registrant:
 JACQUELINE  EDGERLY NTP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
131 ESCALANTE RD  CARBONDALE, CO 81623-9720 US
Tel: 970-379-3221  Fax: --

Contact information for business:
131 ESCALANTE RD  CARBONDALE, CO 81623-9720 US
Tel: 970-379-3221  Fax: --

Registration Information:
NPI: 1881272888
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N133NN1002XDietary & Nutritional Service Providers
Nutritionist
Nutrition, Education
Y133N00000XDietary & Nutritional Service Providers
Nutritionist

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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