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1063063295
ALLISON JAY
DETROIT, MI
NPI
1063063295
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: 86004099)
Enumeration Date
2019-09-29
Last Update Date
2019-09-29
Business Address
ALLISON JAY RD
4777 E OUTER DR
DETROIT, MI 48234-3241
Phone number: 313-369-5853
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Mailing Address
ALLISON JAY RD
970 KINGS HWY
LINCOLN PARK, MI 48146-4206
Phone number: 419-603-3454
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