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Individual
MR. NICHOLAS S PALUMBO
Active
Individual
MR. NICHOLAS S PALUMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.D.
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164005341
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164005341
LICENSE
IL
01
—
248002576
LICENSE
IL
Enumeration date
09/29/2010
Last updated
01/20/2020
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