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1538414206
LYDIA M MERRIGAN
PORTLAND, OR
NPI
1538414206
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: OR LD-D-000331)
Enumeration Date
2012-07-19
Last Update Date
2012-07-19
Business Address
Mrs. LYDIA M MERRIGAN RD, LD
830 NE 47TH AVE
PORTLAND, OR 97213-2212
Phone number: 503-215-2404
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Mailing Address
Mrs. LYDIA M MERRIGAN RD, LD
830 NE 47TH AVENUE
PORTLAND, OR 97213-2212
Phone number: 503-215-2404
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