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1326221607
KATIE MARIE LICK
ST LOUIS PARK, MN
NPI
1326221607
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: MN 2650)
Enumeration Date
2007-12-10
Last Update Date
2011-01-10
Business Address
MRS. KATIE MARIE LICK R.D., L.D.
3525 MONTEREY DR
ST LOUIS PARK, MN 55416-5275
Phone number: 952-993-5161
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Mailing Address
MRS. KATIE MARIE LICK R.D., L.D.
3525 MONTEREY DR
ST LOUIS PARK, MN 55416-5275
Phone number: 952-993-5161
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