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1801248893
PARDIS DEFORD
MILWAUKEE, WI
NPI
1801248893
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: WI 2816)
Enumeration Date
2016-07-01
Last Update Date
2016-07-01
Business Address
PARDIS DEFORD
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226-3522
Phone number: 414-805-7782
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Mailing Address
PARDIS DEFORD
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226-3522
Phone number:
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