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1720369085
CANDISE JORDAN FENTON
COLORADO SPRINGS, CO
NPI
1720369085
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: AL 1061751)
Enumeration Date
2011-08-31
Last Update Date
2011-08-31
Business Address
-- CANDISE JORDAN FENTON R.D.
2506 BALBOA ST
COLORADO SPRINGS, CO 80907-6934
Phone number: 719-425-5793
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Mailing Address
-- CANDISE JORDAN FENTON R.D.
2506 BALBOA ST
COLORADO SPRINGS, CO 80907-6934
Phone number:
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