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1265102040
DEBRA ANN SUPER
ROANOKE, VA
NPI
1265102040
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: VA 8606680)
Enumeration Date
2021-09-14
Last Update Date
2021-09-14
Business Address
DEBRA ANN SUPER RDN
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014-1838
Phone number: 540-797-8738
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Mailing Address
DEBRA ANN SUPER RDN
6541 FLOYD HWY N.
CHECK, VA 24072
Phone number: 797-285-8924
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