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1063061752
CHRISTINE LAILA VEGA
ST AUGUSTINE, FL
NPI
1063061752
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: FL 44399)
Enumeration Date
2019-09-05
Last Update Date
2019-09-05
Business Address
CHRISTINE LAILA VEGA RD
291 PICKETT DR
ST AUGUSTINE, FL 32084-6648
Phone number: 904-707-7449
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Mailing Address
CHRISTINE LAILA VEGA RD
291 PICKETT DR
ST AUGUSTINE, FL 32084-6648
Phone number: 904-707-7449
Copy
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