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1023221660
SUSAN K. VANDERTIE
MILWAUKEE, WI
NPI
1023221660
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
Enumeration Date
2007-05-08
Last Update Date
2007-07-08
Business Address
MRS. SUSAN K. VANDERTIE RD CDE
2323 N LAKE DR
MILWAUKEE, WI 53211-4508
Phone number: 414-291-1143
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Mailing Address
MRS. SUSAN K. VANDERTIE RD CDE
1010 N 122ND ST
WAUWATOSA, WI 53226-3312
Phone number: 414-259-1935
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