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1306249578
JEANNE FARRELL
ST PETERSBURG, FL
NPI
1306249578
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133VN1004X Dietitian, Registered, Nutrition, Pediatric
(Licence: FL ND1271)
Enumeration Date
2014-10-02
Last Update Date
2014-10-03
Business Address
-- JEANNE FARRELL RD, CNSC
501 6TH AVE S
ST PETERSBURG, FL 33701-4634
Phone number: 727-767-8419
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Mailing Address
-- JEANNE FARRELL RD, CNSC
205 TIDAL LN APT 104
BRADENTON, FL 34212-4446
Phone number: 727-767-8419
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