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1033541420
LISA ANN GIBSON
IRVINE, CA
NPI
1033541420
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: CO 521019)
Enumeration Date
2013-08-07
Last Update Date
2013-08-07
Business Address
-- LISA ANN GIBSON MS, RD
11 QUEBRADA
IRVINE, CA 92620-1867
Phone number: 714-832-2388
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Mailing Address
-- LISA ANN GIBSON MS, RD
11 QUEBRADA
IRVINE, CA 92620-1867
Phone number: 714-832-2388
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