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REGINA MCCORMICK R.D L.D.

>> Dietitian, Registered >> Dietary & Nutritional Service Providers

Registrant NPI Number: 1114281011

Individual Registrant:
 REGINA  MCCORMICK R.D L.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1703 N BUERKLE ST  STUTTGART, AR 72160-3153 US
Tel: 870-673-3511  Fax: --

Contact information for business:
139 WILLOW GROVE RD  SHERWOOD, AR 72120-3269 US
Tel: --  Fax: --

Registration Information:
NPI: 1114281011
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y133V00000XDietary & Nutritional Service Providers
Dietitian, Registered
AR1302

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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