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1740409044
KELLI ANN VIVATSON
GRAND FORKS, ND
NPI
1740409044
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Other Name
KELLI ANN VIVASTON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: ND 700)
Enumeration Date
2007-04-25
Last Update Date
2007-07-19
Business Address
-- KELLI ANN VIVATSON LRD
1200 S COLUMBIA RD
GRAND FORKS, ND 58201-4036
Phone number: 701-780-5000
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Mailing Address
-- KELLI ANN VIVATSON LRD
PO BOX 6002
GRAND FORKS, ND 58206-6002
Phone number: 701-780-5000
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