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1477080141
DEIDRA WOOD
PHOENIX, AZ
NPI
1477080141
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: AZ 86028196)
Enumeration Date
2017-05-12
Last Update Date
2017-05-12
Business Address
-- DEIDRA WOOD
514 E SACK DR
PHOENIX, AZ 85024-2217
Phone number: 919-412-3400
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Mailing Address
-- DEIDRA WOOD
514 E SACK DR
PHOENIX, AZ 85024-2217
Phone number:
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