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Individual
ABIGAIL K. CANNON
Active
Individual
ABIGAIL K. CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
009555
NY
133VN1006X
Metabolic Nutrition Registered Dietitian
009555
NY
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
Primary
009555
NY
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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