MARYBETH RUSSELL

SIOUX FALLS, SD
NPI1174683361
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: SD  0159)
Enumeration Date2006-12-11
Last Update Date2007-07-08
Business Address
-- MARYBETH RUSSELL RD
4500 W 69TH ST
SIOUX FALLS, SD 57108-8148
Phone number: 605-977-7000
Mailing Address
-- MARYBETH RUSSELL RD
4500 W 69TH ST
SIOUX FALLS, SD 57108-8148
Phone number: 605-977-7000
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