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Individual

MS. KAREN KIVER PATALANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MBA, RD, LDN

Contact information

Practice address
567 CENTRAL ST, BOYLSTON, MA 01505-1523
(508) 869-2824
(508) 869-2814
Mailing address
567 CENTRAL ST, BOYLSTON, MA 01505-1523
(508) 869-2824
(508) 869-2814

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1079
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
470424
TUFTS HEALTH CARE
MA
01
AA32701
HARVARD PILGRIM
MA
01
LD0149
BLUE CROSS BLUE SHIELD
MA
Enumeration date
08/23/2006
Last updated
07/08/2007
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