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1760714000
JACLYN PRUSAKOWSKI
ISELIN, NJ
NPI
1760714000
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: NJ 1015597)
Enumeration Date
2010-02-11
Last Update Date
2010-02-11
Business Address
-- JACLYN PRUSAKOWSKI RD
530 GREEN ST
ISELIN, NJ 08830-2654
Phone number: 732-283-1900
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Mailing Address
-- JACLYN PRUSAKOWSKI RD
20 THISTLE LN
WARREN, NJ 07059-5564
Phone number: 908-903-1670
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