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1508044215
MIMI WANG
BROOKLYN, NY
NPI
1508044215
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: NY 386601)
Enumeration Date
2008-02-05
Last Update Date
2008-02-05
Business Address
Mrs. MIMI WANG MA, RD, C DN
800 POLY PL
BROOKLYN, NY 11209-7104
Phone number: 718-442-7303
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Mailing Address
Mrs. MIMI WANG MA, RD, C DN
63 RAVENHURST AVE
STATEN ISLAND, NY 10310-2631
Phone number: 718-442-7303
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