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1851512982
WENDY S BALISTER
MEQUON, WV
NPI
1851512982
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: WI 727508)
Enumeration Date
2007-05-02
Last Update Date
2007-07-08
Business Address
Mrs. WENDY S BALISTER rd
13111 NORTH PORT WASHINGTON RD
MEQUON, WV 53097
Phone number: 262-243-7376
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Mailing Address
Mrs. WENDY S BALISTER rd
W156N6406 WILDFLOWER DRIVE
MENOMONEE FALLS, WI 53051
Phone number: 262-703-0009
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