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1063726347
JACLYN S TANE
ROSLYN HEIGHTS, NY
NPI
1063726347
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133N00000X Nutritionist
(Licence: NY 006416)
Enumeration Date
2010-07-29
Last Update Date
2011-09-02
Business Address
-- JACLYN S TANE RD
216 WILLIS AVE STE 001
ROSLYN HEIGHTS, NY 11577-2125
Phone number: 516-801-0022
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Mailing Address
-- JACLYN S TANE RD
216 WILLIS AVE STE 001
ROSLYN HEIGHTS, NY 11577-2125
Phone number: 516-801-0022
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