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1366617276
REGINA BAKSHIYEV
FAIR LAWN, NJ
NPI
1366617276
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: NJ 984541)
Enumeration Date
2008-04-23
Last Update Date
2018-12-10
Business Address
Mrs. REGINA BAKSHIYEV RD, CDN
13-51 RIVER RD STE B
FAIR LAWN, NJ 07410
Phone number: 201-398-0020
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Mailing Address
Mrs. REGINA BAKSHIYEV RD, CDN
6 MCGUIRE CT
OLD BRIDGE, NJ 08857-4400
Phone number: 732-910-5862
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