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1407927239
CHRISTINE MARIE LEWALLEN
STOCKTON, CA
NPI
1407927239
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: CA 876533)
Enumeration Date
2006-11-13
Last Update Date
2018-03-09
Business Address
CHRISTINE MARIE LEWALLEN R.D.
2233 GRAND CANAL BLVD STE 106
STOCKTON, CA 95207-6657
Phone number: 209-483-7647
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Mailing Address
CHRISTINE MARIE LEWALLEN R.D.
3143 SEA GULL LN
STOCKTON, CA 95219-4604
Phone number: 209-483-7647
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