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Individual

KYLIE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
1101 JACKSON ST, GREENVILLE, OH 45331-1395
(937) 547-2319
Mailing address
5735 MEEKER RD, GREENVILLE, OH 45331-1186
(937) 548-9680
(937) 548-2087

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD.7703
OH

Other

Enumeration date
08/10/2023
Last updated
08/10/2023
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