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1629722046
FERNANDO IVAN UMANZOR GUZMAN
BRONX, NY
NPI
1629722046
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: NY 86275925)
Enumeration Date
2022-02-04
Last Update Date
2022-02-04
Business Address
FERNANDO IVAN UMANZOR GUZMAN RDN
130 W KINGSBRIDGE RD
BRONX, NY 10468-3904
Phone number: 718-584-9000
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Mailing Address
FERNANDO IVAN UMANZOR GUZMAN RDN
282 W 113TH ST APT 4B
NEW YORK, NY 10026-3328
Phone number: 202-465-9997
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