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1114078458
NAN MANSFIELD
ELMIRA, NY
NPI
1114078458
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: NY 001021)
Enumeration Date
2007-01-15
Last Update Date
2007-07-08
Business Address
-- NAN MANSFIELD R.D.
600 FITCH ST
ELMIRA, NY 14905-1634
Phone number: 607-737-8151
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Mailing Address
-- NAN MANSFIELD R.D.
722 W WATER ST
ELMIRA, NY 14905-2435
Phone number: 607-271-2050
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