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1114372992
JODY HALOUSKA
DENVER, CO
NPI
1114372992
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: 1014180)
Enumeration Date
2016-04-28
Last Update Date
2016-04-28
Business Address
JODY HALOUSKA RD
1721 E 19TH AVE
DENVER, CO 80218-1251
Phone number: 303-839-6416
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Mailing Address
JODY HALOUSKA RD
11222 GRAY ST
WESTMINSTER, CO 80020-6814
Phone number: 303-827-9398
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