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1922598465
LILLIAN JEAN BODANE
LOS ANGELES, CA
NPI
1922598465
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: CA 86003712)
Enumeration Date
2018-05-10
Last Update Date
2018-05-10
Business Address
LILLIAN JEAN BODANE RD
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073-1003
Phone number: 630-251-9296
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Mailing Address
LILLIAN JEAN BODANE RD
2775 MESA VERDE DR E APT P115
COSTA MESA, CA 92626-5009
Phone number: 630-251-9296
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