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1023097037
MOLLY E PETRIK
LINCOLN, NE
NPI
1023097037
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Former Name
MOLLY JOHNSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: IA 01544)
Enumeration Date
2006-01-10
Last Update Date
2020-06-15
Business Address
MRS. MOLLY E PETRIK RD LMNT CDE
2246 O ST
LINCOLN, NE 68510-1121
Phone number: 402-413-0430
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Mailing Address
MRS. MOLLY E PETRIK RD LMNT CDE
1949 NW 44TH STREET
LINCOLN, NE 68528
Phone number: 319-621-6107
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