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Individual

MS. MICHELE CATHERINE PINO SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RD, LD

Contact information

Practice address
6000 W. HWY 98, MNT/CODE 11, PENSACOLA, FL 32512
(850) 505-6417
(850) 505-6933
Mailing address
1432 LEMHURST RD, PENSACOLA, FL 32507-3539
(850) 505-6412
(850) 505-6933

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
NC 002985
FL

Other

Enumeration date
08/07/2006
Last updated
07/08/2007
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