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Organization
DISEASE MANAGEMENT AND PREVENTION DIETITIANS PLLC
Active
Organization
DISEASE MANAGEMENT AND PREVENTION DIETITIANS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE MCLEOD LRD, RDN,CDE (PRESIDENT)
(701) 532-1683
Entity
Organization
Contact information
Practice address
1100 19TH AVE N STE 178, FARGO, ND 58102-5906
(701) 532-1683
Mailing address
1100 19TH AVE N STE 178, FARGO, ND 58102-5906
(701) 532-1683
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
—
NULL
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
07/10/2020
Last updated
12/10/2020
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