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1366853434
KIMBERLY MCDONOUGH
GLENDALE, AZ
NPI
1366853434
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: IL 1054529)
Enumeration Date
2014-05-12
Last Update Date
2014-05-12
Business Address
-- KIMBERLY MCDONOUGH RD
17505 N 79TH AVE SUITE 407
GLENDALE, AZ 85308-8725
Phone number: 623-399-6825
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Mailing Address
-- KIMBERLY MCDONOUGH RD
17505 N 79TH AVE SUITE 210
GLENDALE, AZ 85308-8725
Phone number: 623-399-6825
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