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1124478326
TEA GAVRAN
BUFFALO, NY
NPI
1124478326
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: NY 86036647)
Enumeration Date
2016-06-17
Last Update Date
2016-06-17
Business Address
-- TEA GAVRAN RD
60 ALCONA AVE
BUFFALO, NY 14226-2201
Phone number: 716-907-0994
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Mailing Address
-- TEA GAVRAN RD
60 ALCONA AVE
BUFFALO, NY 14226-2201
Phone number: 716-907-0994
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