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1265583629
LISA D ELLIS
WHITE PLAINS, NY
NPI
1265583629
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: NY 165-1)
Enumeration Date
2007-01-14
Last Update Date
2007-07-08
Business Address
-- LISA D ELLIS MS, RD, CDN
1301 MAMARONECK AVE
WHITE PLAINS, NY 10605-5202
Phone number: 914-589-7962
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Mailing Address
-- LISA D ELLIS MS, RD, CDN
1301 MAMARONECK AVE
WHITE PLAINS, NY 10605-5202
Phone number: 914-589-7962
Copy
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