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1205925252
LISA ALICE ROSS
MINNEAPOLIS, MN
NPI
1205925252
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: MN 1968)
Enumeration Date
2006-10-11
Last Update Date
2007-07-08
Business Address
Mrs. LISA ALICE ROSS RD, LD
1620 W LAKE ST
MINNEAPOLIS, MN 55408-2549
Phone number: 612-822-5973
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Mailing Address
Mrs. LISA ALICE ROSS RD, LD
1620 W LAKE ST
MINNEAPOLIS, MN 55408-2549
Phone number: 612-822-5973
Copy
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