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1588984900
AGATA J JACNIACKI
LOS ANGELES, CA
NPI
1588984900
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: CA 1035579)
Enumeration Date
2010-06-08
Last Update Date
2010-06-08
Business Address
Miss AGATA J JACNIACKI RD
6041 CADILLAC AVE
LOS ANGELES, CA 90034-1702
Phone number: 323-857-2000
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Mailing Address
Miss AGATA J JACNIACKI RD
27037 BIG RAPIDS LOOP 1
VALENCIA, CA 91354-2642
Phone number: 661-476-9241
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