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Individual
KATELYN R BUSACCA
Active
Individual
KATELYN R BUSACCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86029792
MD
Other
Enumeration date
10/18/2017
Last updated
10/18/2017
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