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1780028928
MARY J ROTH
COLORADO SPRINGS, CO
NPI
1780028928
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Former Name
MARY J HAWKINSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
Enumeration Date
2013-04-18
Last Update Date
2013-04-18
Business Address
MARY J ROTH RD
47 WIDEFIELD BLVD
COLORADO SPRINGS, CO 80911-2126
Phone number: 719-282-6100
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Mailing Address
MARY J ROTH RD
47 WIDEFIELD BLVD
COLORADO SPRINGS, CO 80911-2126
Phone number: 719-282-6100
Copy
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