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1588056774
IVY MARX
LOS ANGELES, CA
NPI
1588056774
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: CA 714127)
Enumeration Date
2015-02-24
Last Update Date
2015-02-24
Business Address
-- IVY MARX R.D.
808 W 58TH ST
LOS ANGELES, CA 90037-3632
Phone number: 323-541-1600
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Mailing Address
-- IVY MARX R.D.
222 S FIGUEROA ST APT. 515
LOS ANGELES, CA 90012-2542
Phone number: 323-541-1600
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