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1932388212
LIZA JO LOCKLEAR
GREEN BAY, WI
NPI
1932388212
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: WI 1610-29)
Enumeration Date
2007-11-02
Last Update Date
2021-02-10
Business Address
Mrs. LIZA JO LOCKLEAR RD CD CDE
2641 DEVELOPMENT DR
GREEN BAY, WI 54311-4240
Phone number: 920-338-6868
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Mailing Address
Mrs. LIZA JO LOCKLEAR RD CD CDE
PO BOX 22487
GREEN BAY, WI 54305-2487
Phone number: 920-445-7222
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