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1073531646
SUSAN M MARTODAM
DETROIT LAKES, MN
NPI
1073531646
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: MN 2223)
Enumeration Date
2006-07-18
Last Update Date
2008-09-16
Business Address
SUSAN M MARTODAM LRD
1245 WASHINGTON AVE
DETROIT LAKES, MN 56501-3905
Phone number: 218-846-2000
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Mailing Address
SUSAN M MARTODAM LRD
1245 WASHINGTON AVE
DETROIT LAKES, MN 56501-3905
Phone number: 218-846-2000
Copy
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