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1750774881
LISA GLEASON
KIRKLAND, WA
NPI
1750774881
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: WA DI 60576213)
Enumeration Date
2015-03-13
Last Update Date
2015-07-24
Business Address
LISA GLEASON RD
11821 NE 128TH ST STE C
KIRKLAND, WA 98034-7210
Phone number: 425-285-1250
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Mailing Address
LISA GLEASON RD
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223
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