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Individual
IGOR KEZIN
Active
Individual
IGOR KEZIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
001724
CT
133V00000X
Registered Dietitian
Primary
009411-01
NY
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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