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1689759003
ANGELA MOORE
STATEN ISLAND, NY
NPI
1689759003
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: NY 006032)
Enumeration Date
2006-10-25
Last Update Date
2007-07-08
Business Address
-- ANGELA MOORE CDN
256 MASON AVE
STATEN ISLAND, NY 10305
Phone number: 718-226-1300
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Mailing Address
-- ANGELA MOORE CDN
ONE EDGEWATER STREET SUITE 723
STATEN ISLAND, NY 10305
Phone number: 718-226-1013
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