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1568651461
MAXINE MYRA SCHROEDER
TWIN FALLS, ID
NPI
1568651461
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: ID D-219)
Enumeration Date
2007-10-17
Last Update Date
2008-02-28
Business Address
Mrs. MAXINE MYRA SCHROEDER RD, LD, CDE
388 MARTIN ST
TWIN FALLS, ID 83301-4544
Phone number: 208-734-0451
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Mailing Address
Mrs. MAXINE MYRA SCHROEDER RD, LD, CDE
1360 E 3500 N
BUHL, ID 83316-6214
Phone number: 208-543-6579
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