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1720561384
KATELYN OPICHKA KOTHARI
AUSTIN, TX
NPI
1720561384
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: MN 4048)
Enumeration Date
2018-09-10
Last Update Date
2024-08-29
Business Address
KATELYN OPICHKA KOTHARI MS, RD, LD
3724 JEFFERSON ST STE 104
AUSTIN, TX 78731-6204
Phone number: 512-693-7045
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Mailing Address
KATELYN OPICHKA KOTHARI MS, RD, LD
7200 FORESTVIEW LN N
MAPLE GROVE, MN 55369-5571
Phone number: 920-901-3122
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