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1982755336
MARTHA PETTEY VATTEROTT
SAINT LOUIS, MO
NPI
1982755336
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: MO 200123556)
Enumeration Date
2007-01-14
Last Update Date
2007-07-08
Business Address
-- MARTHA PETTEY VATTEROTT
1129 MACKLIND AVE
SAINT LOUIS, MO 63110-1440
Phone number: 314-534-0200
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Mailing Address
-- MARTHA PETTEY VATTEROTT
1129 MACKLIND AVE
SAINT LOUIS, MO 63110-1440
Phone number: 314-534-0200
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