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1841212875
JENNIFER LYNN SUPER
MINNEAPOLIS, MN
NPI
1841212875
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: MN 2202)
Enumeration Date
2006-07-25
Last Update Date
2014-11-06
Business Address
-- JENNIFER LYNN SUPER RD LD
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454-1450
Phone number: 612-273-1861
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Mailing Address
-- JENNIFER LYNN SUPER RD LD
4388 GALTIER ST
SHOREVIEW, MN 55126-2105
Phone number: 612-273-1861
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