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1396500039
NOA BENJO VASSALLO
MELVILLE, NY
NPI
1396500039
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: NY 01081401)
Enumeration Date
2024-02-20
Last Update Date
2024-02-20
Business Address
NOA BENJO VASSALLO MS, CDN
150 BROADHOLLOW RD STE 102
MELVILLE, NY 11747-4901
Phone number: 516-441-9013
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Mailing Address
NOA BENJO VASSALLO MS, CDN
30 WALTER CT
COMMACK, NY 11725-3602
Phone number: 516-441-9013
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