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1154352805
ELLEN NISHI
SALT LAKE CITY, UT
NPI
1154352805
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: UT 106276-4901)
Enumeration Date
2006-07-05
Last Update Date
2007-07-08
Business Address
-- ELLEN NISHI R.D.
500 FOOTHILL BLVD
SALT LAKE CITY, UT 84148-0001
Phone number: 801-582-1565
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Mailing Address
-- ELLEN NISHI R.D.
3843 EMIGRATION CYN
SALT LAKE CITY, UT 84108-1660
Phone number:
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