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1922054154
LISA MARGARET HALL
ST AUGUSTINE, FL
NPI
1922054154
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: IL 924093)
Enumeration Date
2006-05-26
Last Update Date
2017-08-09
Business Address
Mrs. LISA MARGARET HALL R.D.
64 MIRUELA AVE
ST AUGUSTINE, FL 32080-3864
Phone number: 904-392-1030
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Mailing Address
Mrs. LISA MARGARET HALL R.D.
64 MIRUELA AVE
ST AUGUSTINE, FL 32080
Phone number: 904-392-1030
Copy
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