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1194394510
DAVID NISSEN
LAKEWOOD, NJ
NPI
1194394510
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
133NN1002X Nutritionist, Nutrition, Education
Enumeration Date
2021-06-21
Last Update Date
2021-06-21
Business Address
DAVID NISSEN NC
2 FLANNERY AVE
LAKEWOOD, NJ 08701-4750
Phone number: 646-262-1857
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Mailing Address
DAVID NISSEN NC
2 FLANNERY AVE
LAKEWOOD, NJ 08701-4750
Phone number: 646-262-1857
Copy
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