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1710347034
JODA P. DERRICKSON
KAILUA, HI
NPI
1710347034
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133VN1006X Dietitian, Registered, Nutrition, Metabolic
Enumeration Date
2016-02-29
Last Update Date
2018-04-18
Business Address
Dr. JODA P. DERRICKSON Ph.D, RD, ACSM EP-C
580 KAWAILOA RD
KAILUA, HI 96734-3145
Phone number: 808-220-4165
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Mailing Address
Dr. JODA P. DERRICKSON Ph.D, RD, ACSM EP-C
580 KAWAILOA RD
KAILUA, HI 96734-3145
Phone number: 808-220-4165
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