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STEPHANIE GIPSON RDN

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

Registrant NPI Number: 1932713906

Individual Registrant:
 STEPHANIE  GIPSON RDN
Gender: F
Sole Proprietor

Location and contact information for practice:
3645 HOLMES VALLEY RD  VERNON, FL 32462-3749 US
Tel: 850-596-1476  Fax: --

Contact information for business:
3645 HOLMES VALLEY RD  VERNON, FL 32462-3749 US
Tel: 850-596-1476  Fax: --

Registration Information:
NPI: 1932713906
Entity Type: Individual

Specialty information:

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

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS FL - Page 1



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