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1255950648
LIZA SOUTHERTON
MEMPHIS, TN
NPI
1255950648
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
Enumeration Date
2020-04-15
Last Update Date
2020-04-15
Business Address
LIZA SOUTHERTON MS, RD, CSG, LDN
1265 UNION AVE
MEMPHIS, TN 38104-3415
Phone number: 901-516-7386
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Mailing Address
LIZA SOUTHERTON MS, RD, CSG, LDN
3405 RAINTREE WOODS DR APT 302
MEMPHIS, TN 38119-1047
Phone number:
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