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1265643019
TAMMY ALVAREZ WIEDEMAN
JACKSONVILLE, FL
NPI
1265643019
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: FL ND4613)
Enumeration Date
2007-05-24
Last Update Date
2007-07-08
Business Address
MRS. TAMMY ALVAREZ WIEDEMAN RD, LD,N
3100 UNIVERSITY BLVD S SUITE 220
JACKSONVILLE, FL 32216-2758
Phone number: 904-724-2043
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Mailing Address
MRS. TAMMY ALVAREZ WIEDEMAN RD, LD,N
1076 FEATHERWOOD CT
ATLANTIC BEACH, FL 32233-6913
Phone number: 904-247-5588
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