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Individual

KATIE N. CRUPI- SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.D.

Contact information

Practice address
210 JONES RD, SUITE 11, FALMOUTH, MA 02540-2974
(508) 299-8202
(508) 299-8355
Mailing address
210 JONES RD, SUITE 11, FALMOUTH, MA 02540-2974
(508) 299-8202
(508) 299-8355

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2363
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2363
MASSACHUSETSS LICENSE
MA
Enumeration date
10/24/2006
Last updated
08/25/2009
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