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Individual
KATIE WARREN HARTZOG
Active
Individual
KATIE WARREN HARTZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
944568
AL
133V00000X
Registered Dietitian
944568
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AUBURN UNIVERSITY
CDR
CO
01
—
CO STATE UNIVERSITY
RD
CO
Enumeration date
02/08/2007
Last updated
08/17/2007
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