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1174866123
COLLEEN VICENTE
PHILADELPHIA, PA
NPI
1174866123
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: PA DN0044688)
Enumeration Date
2013-03-28
Last Update Date
2013-03-28
Business Address
-- COLLEEN VICENTE RD
3601 A ST
PHILADELPHIA, PA 19134-1043
Phone number: 215-427-6778
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Mailing Address
-- COLLEEN VICENTE RD
3601 A ST
PHILADELPHIA, PA 19134-1043
Phone number: 215-427-6778
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