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1932509106
KRISTIE FAWKES
SPRING LAKE, NJ
NPI
1932509106
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174N00000X Lactation Consultant, Non-RN
(Licence: MA 11134129)
Enumeration Date
2014-08-25
Last Update Date
2014-08-25
Business Address
KRISTIE FAWKES IBCLC
601 PITNEY DR APT 4
SPRING LAKE, NJ 07762-2262
Phone number: 617-640-3148
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Mailing Address
KRISTIE FAWKES IBCLC
601 PITNEY DR APT 4
SPRING LAKE, NJ 07762-2262
Phone number: 617-640-3148
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