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Individual

MS. KRISTA MUGFORD

Active
Sole proprietor
No

Provider details

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

Contact information

Practice address
310 TAUGHANNOCK BLVD, SUITE 3, ITHACA, NY 14850-3251
(607) 252-3590
Mailing address
310 TAUGHANNOCK BLVD, SUITE 3, ITHACA, NY 14850-3251
(607) 252-3590

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
006615-1
NY

Other

Enumeration date
06/29/2011
Last updated
06/29/2011
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