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1639333867
HAIDDIE L PRATA
FORT CARSON, CO
NPI
1639333867
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: TX DT07580)
Enumeration Date
2008-07-16
Last Update Date
2008-07-16
Business Address
Mrs. HAIDDIE L PRATA RD
7500 COCHRANE CIRCLE EACH MEDDAC NUTRITION CARE DIVISION
FORT CARSON, CO 80913
Phone number: 719-526-7973
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Mailing Address
Mrs. HAIDDIE L PRATA RD
2608 ORION DR
COLORADO SPRINGS, CO 80906-1021
Phone number:
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