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1063962603
ALEXANDRA OTWELL
CHICAGO, IL
NPI
1063962603
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: IL 164.006655)
Enumeration Date
2016-10-06
Last Update Date
2016-10-06
Business Address
-- ALEXANDRA OTWELL MS, RD, LD
5962 N ELSTON AVE
CHICAGO, IL 60646-5540
Phone number: 773-774-2470
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Mailing Address
-- ALEXANDRA OTWELL MS, RD, LD
2300 N LINCOLN PARK W APT 416
CHICAGO, IL 60614-3252
Phone number: 815-218-8470
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