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MR. KEVIN PATRICK MCCORMICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NUTRITIONIST

Contact information

Practice address
2702 E CORRINE DR. SUITE 1, PHOENIX, AZ 85032
(602) 348-1004
Mailing address
2702 E CORRINE DR, PHOENIX, AZ 85032-6942
(602) 348-1004

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary

Other

Enumeration date
08/15/2011
Last updated
08/15/2011
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