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1174842694
ELLEN GRIMLIE
SIOUX FALLS, SD
NPI
1174842694
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: SD 808448)
Enumeration Date
2010-05-24
Last Update Date
2010-05-24
Business Address
-- ELLEN GRIMLIE RD
1305 W 18TH ST
SIOUX FALLS, SD 57105-0401
Phone number: 605-333-1000
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Mailing Address
-- ELLEN GRIMLIE RD
PO BOX 5074
SIOUX FALLS, SD 57117-5074
Phone number: 605-328-6585
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