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1679139893
MARY LALEEN OOTHOUDT
SAINT PAUL, MN
NPI
1679139893
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: MN 1729)
Enumeration Date
2019-05-13
Last Update Date
2019-08-28
Business Address
MARY LALEEN OOTHOUDT RD, LD
980 RICE ST
SAINT PAUL, MN 55117-4949
Phone number: 651-326-9020
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Mailing Address
MARY LALEEN OOTHOUDT RD, LD
9121 SEQUOIA BAY
WOODBURY, MN 55125-3453
Phone number: 651-274-1245
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