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1770851065
MICHELLE M BLACK
MILWAUKEE, WI
NPI
1770851065
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: WI 1031883)
Enumeration Date
2011-12-01
Last Update Date
2011-12-01
Business Address
MRS. MICHELLE M BLACK R.D.
2020 W WELLS ST
MILWAUKEE, WI 53233-2720
Phone number: 414-937-2122
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Mailing Address
MRS. MICHELLE M BLACK R.D.
2020 W WELLS ST
MILWAUKEE, WI 53233-2720
Phone number: 414-937-2122
Copy
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