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1265857080
LORETTA B. SHIELDS
THERMOPOLIS, WY
NPI
1265857080
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Former Name
LORETTA B. LEESE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
Enumeration Date
2014-03-03
Last Update Date
2014-03-03
Business Address
Ms. LORETTA B. SHIELDS MS,RD
130 WARREN ST
THERMOPOLIS, WY 82443-2826
Phone number: 734-751-6097
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Mailing Address
Ms. LORETTA B. SHIELDS MS,RD
130 WARREN ST
THERMOPOLIS, WY 82443-2826
Phone number: 734-751-6097
Copy
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