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1093450116
CRYSTAL MIDDLETON
SAINT LOUIS, MO
NPI
1093450116
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: IL 164005204)
Enumeration Date
2022-05-03
Last Update Date
2024-04-22
Business Address
CRYSTAL MIDDLETON RD
1 JEFFERSON BARRACKS DR
SAINT LOUIS, MO 63125-4181
Phone number: 314-652-4100
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Mailing Address
CRYSTAL MIDDLETON RD
1325 CENTERPOINT CIR APT 203
SHILOH, IL 62269-2170
Phone number: 618-201-1432
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