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1366590192
JULIE LYNN BLACK
ROCHESTER, NY
NPI
1366590192
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: NY 001476)
Enumeration Date
2007-01-08
Last Update Date
2010-02-03
Business Address
-- JULIE LYNN BLACK RD, MNT
1425 PORTLAND AVE
ROCHESTER, NY 14621-3001
Phone number: 585-922-4000
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Mailing Address
-- JULIE LYNN BLACK RD, MNT
1425 PORTLAND AVE
ROCHESTER, NY 14621-3001
Phone number: 585-922-4000
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