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1871775171
TATIANA KIDANOV
BROOKLYN, NY
NPI
1871775171
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133VN1006X Dietitian, Registered, Nutrition, Metabolic
(Licence: NY 006762)
Enumeration Date
2007-11-29
Last Update Date
2009-12-02
Business Address
-- TATIANA KIDANOV ms,rd
1309 AVE P
BROOKLYN, NY 11229
Phone number: 718-648-2162
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Mailing Address
-- TATIANA KIDANOV ms,rd
36 BORMAN AVE
STATEN ISLAND, NY 10314
Phone number: 917-721-4494
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