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1588916944
KRISTEN MARIE MANNIX
WILKES BARRE, PA
NPI
1588916944
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: PA DN004731)
Enumeration Date
2012-10-10
Last Update Date
2012-10-10
Business Address
Ms. KRISTEN MARIE MANNIX RD, LDN
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711-0027
Phone number: 570-808-3144
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Mailing Address
Ms. KRISTEN MARIE MANNIX RD, LDN
269 RUSHBROOK RD
SCOTT TOWNSHIP, PA 18433-7862
Phone number: 570-808-3144
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