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1730232687
KELLY SMALLCOMB
BOSTON, MA
NPI
1730232687
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: MA 948573)
Enumeration Date
2007-01-22
Last Update Date
2010-04-13
Business Address
-- KELLY SMALLCOMB MS, RD
850 HARRISON AVE
BOSTON, MA 02118-4001
Phone number: 617-414-4595
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Mailing Address
-- KELLY SMALLCOMB MS, RD
11 PRINCE ST UNIT 2
JAMAICA PLAIN, MA 02130-2725
Phone number: 530-902-7080
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