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Individual
AMANDA J HENRY
Active
Individual
AMANDA J HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
007028
NY
Other
Enumeration date
02/04/2011
Last updated
02/04/2011
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