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1699793174
WANDA LEE PETERSON
FARGO, ND
NPI
1699793174
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: ND 80)
Enumeration Date
2006-07-17
Last Update Date
2007-07-08
Business Address
Ms. WANDA LEE PETERSON LRD
2101 ELM ST N
FARGO, ND 58102-2417
Phone number: 701-232-3241
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Mailing Address
Ms. WANDA LEE PETERSON LRD
3537 PAR ST N
FARGO, ND 58102-1234
Phone number: 701-293-6059
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