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1295104172
MAVIS REN
JAMAICA, NY
NPI
1295104172
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: NY 008461-1)
Enumeration Date
2015-09-21
Last Update Date
2015-10-23
Business Address
-- MAVIS REN RD
9704 SUTPHIN BLVD
JAMAICA, NY 11435-4721
Phone number: 718-657-7088
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Mailing Address
-- MAVIS REN RD
60 MADISON AVE 5TH FLOOR
NEW YORK, NY 10010-1600
Phone number: 212-545-2400
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