STACY DAWN KOLL

DETROIT LAKES, MN
NPI1861633653
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: MN  2380)
Enumeration Date2009-03-09
Last Update Date2009-03-09
Business Address
Mrs. STACY DAWN KOLL RD,LD
1027 WASHINGTON AVE
DETROIT LAKES, MN 56501-3409
Phone number: 218-847-0847
Mailing Address
Mrs. STACY DAWN KOLL RD,LD
1027 WASHINGTON AVE
DETROIT LAKES, MN 56501-3409
Phone number: 218-847-0847