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1457627804
JUDITH ANNA SCOTT
BRIDGETON, MO
NPI
1457627804
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: MO 2008009603)
Enumeration Date
2012-03-30
Last Update Date
2012-03-30
Business Address
JUDITH ANNA SCOTT RD, LD, CDE
12303 DEPAUL DRIVE
BRIDGETON, MO 63044-2588
Phone number: 131-434-4728
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Mailing Address
JUDITH ANNA SCOTT RD, LD, CDE
300-3 PINE LAKE ROAD
COLLINSVILLE, IL 62234
Phone number: 131-434-4728
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