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1528013307
LARISSA A MUSGRAVE
JAMESTOWN, ND
NPI
1528013307
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: ND 626)
Enumeration Date
2006-05-23
Last Update Date
2012-07-18
Business Address
-- LARISSA A MUSGRAVE LRD
401 3RD ST SE
JAMESTOWN, ND 58401-4247
Phone number: 701-253-5300
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Mailing Address
-- LARISSA A MUSGRAVE LRD
PO BOX 6001
FARGO, ND 58108-6001
Phone number: 701-253-5300
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