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1588430862
MARIAH LEE PETRUSEK
BUFFALO, NY
NPI
1588430862
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: NY 011535-01)
Enumeration Date
2023-11-28
Last Update Date
2024-07-17
Business Address
MARIAH LEE PETRUSEK R.D.N.
4330 MAPLE RD
BUFFALO, NY 14226-1064
Phone number: 716-348-0057
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Mailing Address
MARIAH LEE PETRUSEK R.D.N.
134 NORTH AVE
WEST SENECA, NY 14224-1328
Phone number: 716-348-0057
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