SHANNON MEDENWALD

BROOKINGS, SD
NPI1144598889
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: SD  0419)
Enumeration Date2011-12-08
Last Update Date2011-12-08
Business Address
-- SHANNON MEDENWALD RD
300 22ND AVE
BROOKINGS, SD 57006-2480
Phone number: 605-696-9000
Mailing Address
-- SHANNON MEDENWALD RD
4415 CALICO DR S APT 303
FARGO, ND 58104-8744
Phone number: 701-200-7233
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