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1841780731
MEGAN DONNELLY
IDAHO FALLS, ID
NPI
1841780731
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: ID 1045452)
Enumeration Date
2018-05-16
Last Update Date
2018-05-16
Business Address
MEGAN DONNELLY RD
2990 CORTEZ AVE
IDAHO FALLS, ID 83404
Phone number: 208-535-0440
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Mailing Address
MEGAN DONNELLY RD
2990 CORTEZ AVE
IDAHO FALLS, ID 83404-7554
Phone number: 208-535-0440
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