AUTUMN L MASTROIANNI

BOWLING GREEN, KY
NPI1174898456
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: KY  2119)
Enumeration Date2012-03-20
Last Update Date2012-03-20
Business Address
-- AUTUMN L MASTROIANNI RD
843 FAIRVIEW AVE SUITE B6
BOWLING GREEN, KY 42101-4914
Phone number: 270-901-3412
Mailing Address
-- AUTUMN L MASTROIANNI RD
843 FAIRVIEW AVE SUITE B6
BOWLING GREEN, KY 42101-4914
Phone number: 270-901-3412
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