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1134613953
LISA P CLARK
CHICAGO, IL
NPI
1134613953
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: IL 164000736)
Enumeration Date
2018-06-15
Last Update Date
2018-06-15
Business Address
LISA P CLARK RD,LDN, CNSC
2900 N LAKESHORE DRIVE
CHICAGO, IL 60657
Phone number: 773-665-3326
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Mailing Address
LISA P CLARK RD,LDN, CNSC
2900 N LAKE SHORE DR
CHICAGO, IL 60657-6274
Phone number: 773-665-3326
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