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1114007176
LISA GRIEFER
PHOENIX, AZ
NPI
1114007176
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: 812834)
Enumeration Date
2006-10-16
Last Update Date
2015-10-08
Business Address
-- LISA GRIEFER RD, CDE
4212 N 16TH ST
PHOENIX, AZ 85016-5319
Phone number: 602-263-1511
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Mailing Address
-- LISA GRIEFER RD, CDE
PO BOX 31001-0698
PASADENA, CA 91110-0698
Phone number: 602-263-1511
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