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Individual

CHANDRA BALUSU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6 COLONIAL DR, POUGHKEEPSIE, NY 12603-3770
(845) 849-1520
Mailing address
6 COLONIAL DR, POUGHKEEPSIE, NY 12603-3770

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
NY004674-1
NY

Other

Enumeration date
07/03/2008
Last updated
12/30/2019
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