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1235214172
STEPHANIE KATHRYN LODGE
MINNEAPOLIS, MN
NPI
1235214172
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Former Name
STEPHANIE KATHRYN IVANCA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: MN 2252)
Enumeration Date
2006-10-26
Last Update Date
2007-07-08
Business Address
Mrs. STEPHANIE KATHRYN LODGE M.P.H.,R.D., L.D.
VETERANS ADMINISTRATION MEDICAL CENTER ONE VETERANS DRIVE
MINNEAPOLIS, MN 55417
Phone number: 612-725-2000
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Mailing Address
Mrs. STEPHANIE KATHRYN LODGE M.P.H.,R.D., L.D.
44 MINNEAPOLIS AVE
DULUTH, MN 55803-2017
Phone number: 218-728-4824
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