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1558627042
KIMBERLY A MACK
SCHAUMBURG, IL
NPI
1558627042
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: IL 164.004050)
Enumeration Date
2012-04-09
Last Update Date
2012-04-09
Business Address
-- KIMBERLY A MACK RD
315 SKYVUE LN
SCHAUMBURG, IL 60194-3821
Phone number: 847-885-0994
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Mailing Address
-- KIMBERLY A MACK RD
315 SKYVUE LN
SCHAUMBURG, IL 60194-3821
Phone number: 847-885-0994
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