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Individual

MRS. MIMI L DAYKIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.D., C.D.N.

Contact information

Practice address
19 OXFORD PL, GENEVA, NY 14456-2720
(585) 613-1974
Mailing address
19 OXFORD PL, GENEVA, NY 14456-2720
(585) 613-1974

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
007651-1
NY
133V00000X
Registered Dietitian
Primary
1036873
NY

Other

Enumeration date
10/28/2012
Last updated
01/08/2013
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