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COLLEEN ANN O'BRIEN RD

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

Registrant NPI Number: 1245992353

Individual Registrant:
 COLLEEN ANN O'BRIEN RD
Gender: F
Sole Proprietor

Location and contact information for practice:
119 TREASURE HILL RD  SOUTH KENT, CT 06785-1412 US
Tel: 917-468-8444  Fax: --

Contact information for business:
119 TREASURE HILL RD  SOUTH KENT, CT 06785-1412 US
Tel: 917-468-8444  Fax: --

Registration Information:
NPI: 1245992353
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y133V00000XDietary & Nutritional Service Providers
Dietitian, Registered
NY1096546

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
AND1096546NY01




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