MARY LANGE

BRAINERD, MN
NPI1386704237
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: MN  0854)
Enumeration Date2006-12-11
Last Update Date2007-07-08
Business Address
-- MARY LANGE RD
2024 S 6TH ST
BRAINERD, MN 56401-4529
Phone number: 218-828-7100
Mailing Address
-- MARY LANGE RD
2024 S 6TH ST
BRAINERD, MN 56401-4529
Phone number: 218-828-7100
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KM NUTRITION, LLC