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1073705844
LISA GOODE
ISELIN, NJ
NPI
1073705844
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: NJ 952804)
Enumeration Date
2007-08-15
Last Update Date
2007-08-15
Business Address
-- LISA GOODE RD
530 GREEN ST
ISELIN, NJ 08830-2638
Phone number: 732-283-1900
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Mailing Address
-- LISA GOODE RD
20 THISTLE LN
WARREN, NJ 07059-5564
Phone number: 908-903-1670
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