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1073251724
KELLY WYNNE MINARICK
LISLE, IL
NPI
1073251724
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: IL 164.007272)
Enumeration Date
2022-05-23
Last Update Date
2024-03-21
Business Address
Mrs. KELLY WYNNE MINARICK RD, RDN, LDN
650 WARRENVILLE RD STE 100
LISLE, IL 60532-4315
Phone number: 847-318-3013
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Mailing Address
Mrs. KELLY WYNNE MINARICK RD, RDN, LDN
17060 DALLAS PKWY STE 112
DALLAS, TX 75248-1905
Phone number: 469-372-2022
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