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1922411891
LISA MIKUS
NEW YORK, NY
NPI
1922411891
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: TX 86003765)
Enumeration Date
2014-06-08
Last Update Date
2014-06-08
Business Address
-- LISA MIKUS RD, LD
80 UNIVERSITY PL
NEW YORK, NY 10003-4564
Phone number: 832-766-4420
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Mailing Address
-- LISA MIKUS RD, LD
330 E 39TH ST APT 35M
NEW YORK, NY 10016-2137
Phone number: 832-766-4420
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