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1336165869
LISA W MARTIN
ROCK HILL, SC
NPI
1336165869
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: IL 651262)
Enumeration Date
2006-07-15
Last Update Date
2007-07-08
Business Address
-- LISA W MARTIN RD/ CDE
2893 STURGIS RD
ROCK HILL, SC 29730-6607
Phone number: 803-366-9090
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Mailing Address
-- LISA W MARTIN RD/ CDE
9600 MERSHAM CT
CHARLOTTE, NC 28269-8377
Phone number: 704-548-0404
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