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1114672839
MIRANDA BETHIN
BUFFALO, NY
NPI
1114672839
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: NY 010572)
Enumeration Date
2022-02-22
Last Update Date
2022-02-22
Business Address
MIRANDA BETHIN MS, RD, CDN
742 DELAWARE AVE
BUFFALO, NY 14209-2202
Phone number: 716-431-5100
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Mailing Address
MIRANDA BETHIN MS, RD, CDN
22 KEATS AVE
TONAWANDA, NY 14150-8540
Phone number:
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