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1548417298
LISA A EDEAL
FAIRBURY, NE
NPI
1548417298
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133NN1002X Nutritionist Nutrition, Education
(Licence: NE 641)
Enumeration Date
2008-08-25
Last Update Date
2009-12-28
Business Address
MRS. LISA A EDEAL RD
2200 H ST
FAIRBURY, NE 68352-1119
Phone number: 402-729-6846
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Mailing Address
MRS. LISA A EDEAL RD
2200 H ST PO BOX 277
FAIRBURY, NE 68352-1119
Phone number: 402-729-6846
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