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Individual

MISS KARAH NICOLE DOMENICO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.D.

Contact information

Practice address
205 PARK CENTRAL EAST STE. 217, SPRINGFIELD, MO 65806
(417) 619-7187
Mailing address
205 PARK CENTRAL EAST STE. 217, SPRINGFIELD, MO 65806
(417) 619-7187

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2012032624
MO

Other

Enumeration date
09/05/2013
Last updated
09/05/2013
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