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1114230190
ELISE FENSTERMAKER
JACKSONVILLE, FL
NPI
1114230190
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: FL ND 5534)
Enumeration Date
2010-07-20
Last Update Date
2010-07-20
Business Address
-- ELISE FENSTERMAKER RD
5150 TIMUQUANA RD
JACKSONVILLE, FL 32210-8959
Phone number: 904-253-2359
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Mailing Address
-- ELISE FENSTERMAKER RD
900 UNIVERSITY BLVD N #606
JACKSONVILLE, FL 32211-9230
Phone number:
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