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Organization
FOOD STUFF, INC.
Active
Organization
FOOD STUFF, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE R DOSTAL MS,RD,CDE (OWNER)
(309) 830-0711
Entity
Organization
Contact information
Practice address
10338 N 1750 EAST RD, BLOOMINGTON, IL 61705-5950
(309) 830-0711
(866) 592-3004
Mailing address
10338 N 1750 EAST RD, BLOOMINGTON, IL 61705-5950
(309) 830-0711
(866) 592-3004
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.001279
IL
Other
Enumeration date
10/28/2009
Last updated
12/02/2009
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