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1215266713
MARY YVONNE MCCORMICK
JACKSONVILLE, FL
NPI
1215266713
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: FL ND 1658)
Enumeration Date
2009-12-11
Last Update Date
2009-12-11
Business Address
-- MARY YVONNE MCCORMICK RD, CDE
820 PRUDENTIAL DR SUITE 416
JACKSONVILLE, FL 32207-8210
Phone number: 904-202-1152
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Mailing Address
-- MARY YVONNE MCCORMICK RD, CDE
820 PRUDENTIAL DR STE 416
JACKSONVILLE, FL 32207-8206
Phone number: 904-202-1152
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