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1780396184
KRISSIE ADELL STAFFORD
SAINT CLOUD, MN
NPI
1780396184
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: MN 3616)
Enumeration Date
2022-12-16
Last Update Date
2022-12-16
Business Address
KRISSIE ADELL STAFFORD RDN, LD
4801 VETERANS DR
SAINT CLOUD, MN 56303-2015
Phone number: 320-252-1670
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Mailing Address
KRISSIE ADELL STAFFORD RDN, LD
11111 BRITTANY DR N
CHAMPLIN, MN 55316-3843
Phone number: 612-247-4272
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