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1912624297
KIP HORSTMANN
EDDYVILLE, KY
NPI
1912624297
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
133N00000X Nutritionist
(Licence: KY 275500)
Enumeration Date
2022-10-26
Last Update Date
2022-10-26
Business Address
KIP HORSTMANN MS, Lic Nutritionis
620 BIRDIE BANNISTER ROAD
EDDYVILLE, KY 42038
Phone number: 502-444-5025
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Mailing Address
KIP HORSTMANN MS, Lic Nutritionis
5304 EMILY CT
BETTENDORF, IA 52722-2455
Phone number: 502-210-1785
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