TIA M KOCKA

PARK RAPIDS, MN
NPI1710217179
Former NameTIA M GOTTWALT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133NN1002X Nutritionist, Nutrition, Education
(Licence: MN  R33968)
Enumeration Date2010-01-07
Last Update Date2012-08-08
Business Address
-- TIA M KOCKA CDE
705 PLEASANT AVE S
PARK RAPIDS, MN 56470-1440
Phone number: 218-732-2800
Mailing Address
-- TIA M KOCKA CDE
PO BOX 6001
FARGO, ND 58108-6001
Phone number: 701-364-3300
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