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1144354176
SUSAN LEE DEMORLIS
COON RAPIDS, MN
NPI
1144354176
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: MN 1072)
Enumeration Date
2007-03-14
Last Update Date
2007-07-08
Business Address
Ms. SUSAN LEE DEMORLIS RD, LD, CDE
4050 COON RAPIDS BLVD NW MERCY HOSPITAL -- NUTRITION SERVICES
COON RAPIDS, MN 55433-2522
Phone number: 763-236-8704
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Mailing Address
Ms. SUSAN LEE DEMORLIS RD, LD, CDE
14235 BOWERS DR NW
RAMSEY, MN 55303-7211
Phone number: 763-421-8159
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