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1376865360
EAT WELL LIVE WELL INC
PATCHOGUE, NY
NPI
1376865360
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Entity Type
Organization
Authorized Contact
GIRIJA S AYYALA
Owner
631-689-6528
Organization Subpart ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: NY 000673)
Enumeration Date
2010-02-18
Last Update Date
2010-02-18
Business Address
EAT WELL LIVE WELL INC
200 E MAIN ST
PATCHOGUE, NY 11772-3159
Phone number: 631-689-6528
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Mailing Address
EAT WELL LIVE WELL INC
22 HILLSIDE RD
STONY BROOK, NY 11790-1019
Phone number: 631-689-6528
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