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1376248658
JACQUELINE WIVINUS
MINNEAPOLIS, MN
NPI
1376248658
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: MN 3777)
Enumeration Date
2023-04-04
Last Update Date
2023-04-04
Business Address
JACQUELINE WIVINUS MS, RD, LDN
1 VETERANS DR
MINNEAPOLIS, MN 55417-2309
Phone number: 763-370-1487
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Mailing Address
JACQUELINE WIVINUS MS, RD, LDN
7565 ORCHID LN N
MAPLE GROVE, MN 55311-2603
Phone number: 763-370-1487
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