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Individual
SUSAN MALONY
Active
Individual
SUSAN MALONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
462546
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
462546
DIETETIC REGISTRATION
IL
Enumeration date
04/09/2007
Last updated
07/08/2007
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