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1336156629
DIANE M PETERSON
MINNEAPOLIS, MN
NPI
1336156629
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: MN 1965)
Enumeration Date
2006-08-01
Last Update Date
2007-07-08
Business Address
-- DIANE M PETERSON RD,LD,CDE
1 VETERANS DR
MINNEAPOLIS, MN 55417-2309
Phone number: 612-467-3948
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Mailing Address
-- DIANE M PETERSON RD,LD,CDE
3685 WINDTREE DR
EAGAN, MN 55123-1320
Phone number: 651-456-0181
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