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MISS KRISTYN LENORE BAWOL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
1501 SAN PEDRO DR SE RM 1047, ALBUQUERQUE, NM 87108-5180
(505) 265-1711
Mailing address
4805 MARQUETTE AVE NE APT 303, ALBUQUERQUE, NM 87108-1489

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
NM

Other

Enumeration date
12/12/2019
Last updated
12/12/2019
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