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1245561034
MARY IANA KNICKMEYER
MADISON, WI
NPI
1245561034
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Former Name
MARY IANA SHIPPEE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: WI 458025)
Enumeration Date
2010-01-19
Last Update Date
2010-01-19
Business Address
-- MARY IANA KNICKMEYER
600 HIGHLAND AVE COMPLIANCE MC 2433
MADISON, WI 53792-0001
Phone number: 608-662-0817
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Mailing Address
-- MARY IANA KNICKMEYER
600 HIGHLAND AVE COMPLIANCE MC 2433
MADISON, WI 53792-0001
Phone number: 608-662-0817
Copy
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