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1073701884
SARAH WIDENER
BOWLING GREEN, KY
NPI
1073701884
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: KY KY-1695)
Enumeration Date
2007-10-05
Last Update Date
2009-12-10
Business Address
-- SARAH WIDENER RD
843 FAIRVIEW AVE SUITE 6
BOWLING GREEN, KY 42101-4914
Phone number: 270-901-3412
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Mailing Address
-- SARAH WIDENER RD
843 FAIRVIEW AVE SUITE 6
BOWLING GREEN, KY 42101-4914
Phone number: 270-901-3412
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