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1629600978
LISANNE LAURINE HOEKSTRA
AUSTIN, TX
NPI
1629600978
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management
(Licence: TX DT86144)
Enumeration Date
2020-02-05
Last Update Date
2020-02-05
Business Address
LISANNE LAURINE HOEKSTRA RD, LD
11851 JOLLYVILLE RD STE 104
AUSTIN, TX 78759-2350
Phone number: 512-257-2426
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Mailing Address
LISANNE LAURINE HOEKSTRA RD, LD
3001 SCOFIELD RIDGE PKWY APT 3206
AUSTIN, TX 78727-6547
Phone number: 832-421-1343
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