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1124173885
LAUREN TINA DIMITROV
JACKSONVILLE, FL
NPI
1124173885
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: FL ND 5498)
Enumeration Date
2007-01-24
Last Update Date
2016-01-12
Business Address
-- LAUREN TINA DIMITROV R.D.
7011 A C SKINNER PKWY SUITE 160
JACKSONVILLE, FL 32256-6954
Phone number: 904-493-3333
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Mailing Address
-- LAUREN TINA DIMITROV R.D.
PO BOX 551308
JACKSONVILLE, FL 32255-1308
Phone number: 904-493-3333
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