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Individual

MS. PEGGY OWENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
950 CAMPBELL AVE, NUTRITION & FOOD SERVICE/120, WEST HAVEN, CT 06516-2770
(203) 932-5711
(203) 937-4871
Mailing address
4 KELLOGG CIR, SOUTH WINDSOR, CT 06074-1848
(860) 644-1794

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
000214
CT
133V00000X
Registered Dietitian
Primary
601824
NY

Other

Enumeration date
05/01/2008
Last updated
05/01/2008
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