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1912300757
JORINDA VIDE
ASTORIA, NY
NPI
1912300757
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: NY 008074)
Enumeration Date
2014-10-08
Last Update Date
2014-10-08
Business Address
-- JORINDA VIDE
2351 37TH ST
ASTORIA, NY 11105-1907
Phone number: 630-335-1623
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Mailing Address
-- JORINDA VIDE
2351 37TH ST
ASTORIA, NY 11105-1907
Phone number: 630-335-1623
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