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1114086550
LISA MARIE BINGEN
MADISON, WI
NPI
1114086550
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133VN1006X Dietitian, Registered, Nutrition, Metabolic
(Licence: WI 1831-29)
Enumeration Date
2006-12-08
Last Update Date
2009-09-29
Business Address
-- LISA MARIE BINGEN
600 HIGHLAND AVE COMPLIANCE MAIL CODE 2433
MADISON, WI 53792-0001
Phone number: 608-662-0817
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Mailing Address
-- LISA MARIE BINGEN
600 HIGHLAND AVE COMPLIANCE MAIL CODE 2433
MADISON, WI 53792-0001
Phone number: 608-662-0817
Copy
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