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1801317706
KIM HALI WOLF
SMITHTOWN, NY
NPI
1801317706
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: NY 008749)
Enumeration Date
2017-06-29
Last Update Date
2017-06-29
Business Address
Mrs. KIM HALI WOLF MS, RD, CDN
285 E MAIN ST STE 105
SMITHTOWN, NY 11787-2912
Phone number: 631-509-0390
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Mailing Address
Mrs. KIM HALI WOLF MS, RD, CDN
20 SWALLOW LN
HAUPPAUGE, NY 11788-2220
Phone number: 631-724-1575
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