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STEPHANIE LYNN BURR CDN,CNS

>> Nutritionist >> Dietary & Nutritional Service Providers

Registrant NPI Number: 1942801154

Individual Registrant:
 STEPHANIE LYNN BURR CDN,CNS
Gender: F
Sole Proprietor

Location and contact information for practice:
57 VAN ORMAN ST  OAKVILLE, CT 06779-1922 US
Tel: 860-417-8398  Fax: --

Contact information for business:
57 VAN ORMAN ST  OAKVILLE, CT 06779-1922 US
Tel: 860-417-8398  Fax: --

Registration Information:
NPI: 1942801154
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y133N00000XDietary & Nutritional Service Providers
Nutritionist
CT001917

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
CDN001917CT01




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