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1528393600
BAILEY ROSE PETERKA
SAINT PAUL, MN
NPI
1528393600
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: MN 3350)
Enumeration Date
2009-10-07
Last Update Date
2018-05-01
Business Address
BAILEY ROSE PETERKA RD
205 WABASHA ST S
SAINT PAUL, MN 55107-1805
Phone number: 651-293-8100
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Mailing Address
BAILEY ROSE PETERKA RD
8170 33RD AVE S # MS 21110Q
MINNEAPOLIS, MN 55425-4516
Phone number: 651-293-8100
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