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1467606392
MARY DEBORAH ROTH
SAINT LOUIS, MO
NPI
1467606392
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: MO 2001016361)
Enumeration Date
2008-11-05
Last Update Date
2008-11-05
Business Address
Mrs. MARY DEBORAH ROTH R.D.L.D
3009 N BALLAS RD STE 216B STE 216B
SAINT LOUIS, MO 63131-2322
Phone number: 314-996-4351
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Mailing Address
Mrs. MARY DEBORAH ROTH R.D.L.D
3009 N BALLAS RD STE 216B STE 216B
SAINT LOUIS, MO 63131-2322
Phone number: 314-996-4351
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