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Individual

MRS. JENNIFER LYNN MCGURK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDN, CDN, CDE

Contact information

Practice address
99 MAIN STREET, SUITE 204, NYACK, NY 10960
(845) 535-9092
Mailing address
99 MAIN STREET, SUITE 204, NYACK, NY 10960
(845) 535-9092

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
947891
IL

Other

Enumeration date
11/13/2007
Last updated
03/19/2014
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