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1760971246
KOHLEEN E ERVIN
REDMOND, OR
NPI
1760971246
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133VN1005X Dietitian, Registered, Nutrition, Renal
(Licence: OR LD-D10161414)
Enumeration Date
2018-05-09
Last Update Date
2018-05-09
Business Address
KOHLEEN E ERVIN RD, CSR, LD
916 SW 17TH ST STE 100
REDMOND, OR 97756-2572
Phone number: 541-548-2778
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Mailing Address
KOHLEEN E ERVIN RD, CSR, LD
916 SW 17TH ST STE 100
REDMOND, OR 97756-2572
Phone number:
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