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Individual

MISS KIRSTEN NICOLE IMHOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, LD

Contact information

Practice address
117 N MARKET ST STE 250, WOOSTER, OH 44691-4859
(330) 988-8221
Mailing address
117 N MARKET ST STE 250, WOOSTER, OH 44691-4859
(330) 988-8221

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD.09159
OH

Other

Enumeration date
08/21/2020
Last updated
08/21/2020
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