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1235443573
ANGELA PORVAZNIK
ATHENS, OH
NPI
1235443573
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: OH LD.1948)
Enumeration Date
2010-07-28
Last Update Date
2015-02-06
Business Address
-- ANGELA PORVAZNIK R.D., L.D
2131 E STATE ST
ATHENS, OH 45701-2138
Phone number: 740-589-3100
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Mailing Address
-- ANGELA PORVAZNIK R.D., L.D
90 JACKSON PIKE
GALLIPOLIS, OH 45631-1560
Phone number: 740-441-1949
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