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1457781403
DEBRA PICKETT
IDAHO FALLS, ID
NPI
1457781403
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: ID D-775)
Enumeration Date
2013-11-12
Last Update Date
2019-01-07
Business Address
DEBRA PICKETT Registered Dietitian
2325 CORONADO ST
IDAHO FALLS, ID 83404-7407
Phone number: 208-557-2730
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Mailing Address
DEBRA PICKETT Registered Dietitian
2325 CORONADO ST
IDAHO FALLS, ID 83404-7407
Phone number: 208-557-2730
Copy
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