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1538897442
BRENDA KAY SHANNON
RED OAK, IA
NPI
1538897442
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: IA 01419)
Enumeration Date
2022-08-09
Last Update Date
2022-08-09
Business Address
BRENDA KAY SHANNON RD
2301 EASTERN AVE
RED OAK, IA 51566-1305
Phone number: 712-623-7166
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Mailing Address
BRENDA KAY SHANNON RD
2301 EASTERN AVE
RED OAK, IA 51566-1305
Phone number: 712-623-7166
Copy
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