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Individual

MS. JILL MARIE CHURCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD LDN

Contact information

Practice address
30 LOCUST ST, NUTRITION DEPARTMENT, NORTHAMPTON, MA 01060-2052
(413) 582-2325
(413) 582-2933
Mailing address
6 CAMP JAHN RD, SOUTHAMPTON, MA 01073-9568
(860) 748-1237
(413) 582-2933

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2597
MA

Other

Enumeration date
06/27/2007
Last updated
01/26/2010
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