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Individual

MRS. DEBORAH C. JARRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CDN

Contact information

Practice address
8 DYCKMAN DR, MOHEGAN LAKE, NY 10547-1851
(914) 526-6167
Mailing address
1137 ROUTE 216, POUGHQUAG, NY 12570-5620
(845) 518-2164
(845) 478-2069

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
004204-1
NY

Other

Enumeration date
07/15/2010
Last updated
07/15/2010
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