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1063090520
LORIE BRENDECKE
RIVERSIDE, CA
NPI
1063090520
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: CA 1099838)
Enumeration Date
2021-03-29
Last Update Date
2021-03-29
Business Address
LORIE BRENDECKE RDN
922 BASILONE DR
RIVERSIDE, CA 92506-4900
Phone number: 951-776-7403
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Mailing Address
LORIE BRENDECKE RDN
922 BASILONE DR
RIVERSIDE, CA 92506-4900
Phone number: 951-776-7403
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