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Individual

MRS. ALICE MARIEANNE CONNELLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD/LDN

Contact information

Practice address
9353 STATE ROUTE 5, KINSMAN, OH 44428-9324
(330) 207-1066
Mailing address
9353 STATE ROUTE 5, KINSMAN, OH 44428-9324
(330) 207-1066

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN003783
PA
133V00000X
Registered Dietitian
LD 4156
OH

Other

Enumeration date
01/27/2009
Last updated
01/27/2009
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