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1023550829
TERESA BACZKOWSKI
LOS ANGELES, CA
NPI
1023550829
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: CA R561270)
Enumeration Date
2016-11-09
Last Update Date
2016-11-09
Business Address
-- TERESA BACZKOWSKI RD
1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033-2414
Phone number: 323-260-5778
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Mailing Address
-- TERESA BACZKOWSKI RD
3303 FISH CANYON RD
DUARTE, CA 91010-1630
Phone number: 323-260-5778
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