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1174821425
STACY RENEE DEQUINA
WOODLAND HILLS, CA
NPI
1174821425
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: CA 859099)
Enumeration Date
2011-03-10
Last Update Date
2011-03-10
Business Address
-- STACY RENEE DEQUINA R.D., C.D.E.
20361 CLARK ST
WOODLAND HILLS, CA 91367-5508
Phone number: 818-642-1494
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Mailing Address
-- STACY RENEE DEQUINA R.D., C.D.E.
20361 CLARK ST
WOODLAND HILLS, CA 91367-5508
Phone number: 818-642-1494
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