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1396965703
LISA B. TUDOR
THOMASVILLE, GA
NPI
1396965703
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: GA 001456)
Enumeration Date
2007-04-26
Last Update Date
2007-07-08
Business Address
LISA B. TUDOR LD
915 GORDON AVE
THOMASVILLE, GA 31792-6614
Phone number: 229-228-2000
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Mailing Address
LISA B. TUDOR LD
920 CAIRO RD
THOMASVILLE, GA 31792-4255
Phone number: 229-228-2000
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