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1174996151
SUSAN REESE
SALT LAKE CITY, UT
NPI
1174996151
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133VN1004X Dietitian, Registered, Nutrition, Pediatric
(Licence: UT 8066413-4901)
Enumeration Date
2015-11-12
Last Update Date
2015-11-12
Business Address
-- SUSAN REESE MS RDN CNSC CD
2147 E PINNACLE TERRACE WAY APT 103
SALT LAKE CITY, UT 84121-5062
Phone number: 801-201-1850
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Mailing Address
-- SUSAN REESE MS RDN CNSC CD
PO BOX 711913
SALT LAKE CITY, UT 84171-1913
Phone number: 801-201-1850
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