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1336167014
MARGARET LAKE
SAINT LOUIS, MO
NPI
1336167014
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133VN1004X Dietitian, Registered, Nutrition, Pediatric
(Licence: MO 2001026115)
Enumeration Date
2006-07-18
Last Update Date
2016-11-09
Business Address
-- MARGARET LAKE
1 CHILDRENS PL
SAINT LOUIS, MO 63110-1002
Phone number: 314-454-6043
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Mailing Address
-- MARGARET LAKE
1 CHILDRENS PL
SAINT LOUIS, MO 63110-1002
Phone number: 314-454-5687
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