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1407198724
IDA MAN SHAN LAM
FLUSHING, NY
NPI
1407198724
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: NY 1020937)
Enumeration Date
2013-03-25
Last Update Date
2018-11-30
Business Address
Ms. IDA MAN SHAN LAM RD
4110 BOWNE ST STE L3
FLUSHING, NY 11355-5606
Phone number: 718-961-1496
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Mailing Address
Ms. IDA MAN SHAN LAM RD
4110 BOWNE ST STE L3
FLUSHING, NY 11355-5606
Phone number: 718-961-1496
Copy
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