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1164014122
COURTNEY LEE TATE
MINNEAPOLIS, MN
NPI
1164014122
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: MN 86118704)
Enumeration Date
2021-02-10
Last Update Date
2021-02-10
Business Address
COURTNEY LEE TATE RD
5354 PARKDALE DR
MINNEAPOLIS, MN 55416-1603
Phone number: 888-364-5977
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Mailing Address
COURTNEY LEE TATE RD
5354 PARKDALE DR
MINNEAPOLIS, MN 55416-1603
Phone number: 888-364-5977
Copy
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