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1548804370
MALLORY H BAERENWALD
GREEN BAY, WI
NPI
1548804370
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Former Name
MALLORY H KRUEGER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: WI 3465-29)
Enumeration Date
2019-11-05
Last Update Date
2022-04-18
Business Address
MALLORY H BAERENWALD MS,RD,CD
3263 EATON RD
GREEN BAY, WI 54311-6830
Phone number: 920-433-6700
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Mailing Address
MALLORY H BAERENWALD MS,RD,CD
PO BOX 22487
GREEN BAY, WI 54305-2487
Phone number: 920-445-7222
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