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1083911317
LISA RENEE WHEAT
RICHMOND, KY
NPI
1083911317
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: KY 0834)
Enumeration Date
2011-02-23
Last Update Date
2011-02-23
Business Address
-- LISA RENEE WHEAT
216 BOGGS LN
RICHMOND, KY 40475-2522
Phone number: 859-626-4502
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Mailing Address
-- LISA RENEE WHEAT
PO BOX 1208
RICHMOND, KY 40476-1208
Phone number: 859-626-4502
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