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1407211212
ALISSA DOUGHERTY
DULUTH, MN
NPI
1407211212
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: MN 4208)
Enumeration Date
2015-12-21
Last Update Date
2019-10-04
Business Address
ALISSA DOUGHERTY RD,LD
502 E 2ND ST
DULUTH, MN 55805-1913
Phone number: 218-786-8364
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Mailing Address
ALISSA DOUGHERTY RD,LD
1702 UNIVERSITY DR S
FARGO, ND 58103-4940
Phone number:
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