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Individual

MS. JACQUELYN A KASZUBA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSRD

Contact information

Practice address
3033 WINKLER AVENUE EXT, FORT MYERS, FL 33916-9413
(941) 235-2710
Mailing address
26550 BARRANQUILLA AVE, PUNTA GORDA, FL 33983-5727
(941) 815-0963

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
08/23/2006
Last updated
07/08/2007
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