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1437482932
ALICE DALE WATERBURY FAGUNDES
SAN JOSE, CA
NPI
1437482932
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: CA 970752)
Enumeration Date
2009-09-15
Last Update Date
2013-09-09
Business Address
Mrs. ALICE DALE WATERBURY FAGUNDES MS, RDN
175 N JACKSON AVE SUITE 209
SAN JOSE, CA 95116-1909
Phone number: 408-568-4181
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Mailing Address
Mrs. ALICE DALE WATERBURY FAGUNDES MS, RDN
175 N JACKSON AVE SUITE 209
SAN JOSE, CA 95116-1909
Phone number: 408-568-4181
Copy
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