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1396237905
AUSTIN LIGHT
IRVINE, CA
NPI
1396237905
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: NY 1105553)
Enumeration Date
2018-05-31
Last Update Date
2018-05-31
Business Address
-- AUSTIN LIGHT RDN
20 MODESTO
IRVINE, CA 92602-0930
Phone number: 714-469-1393
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Mailing Address
-- AUSTIN LIGHT RDN
20 MODESTO
IRVINE, CA 92602-0930
Phone number: 714-469-1393
Copy
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