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1134903131
LISA DANIELLE RIVERA
PROVO, UT
NPI
1134903131
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: UT 13462193-4901)
Enumeration Date
2023-08-21
Last Update Date
2023-08-21
Business Address
LISA DANIELLE RIVERA RDN
2693 W 530 N
PROVO, UT 84601-5890
Phone number: 801-885-2683
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Mailing Address
LISA DANIELLE RIVERA RDN
2693 W 530 N
PROVO, UT 84601-5890
Phone number: 801-885-2683
Copy
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