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Organization
605 DIETITIAN, LLC
Active
Organization
605 DIETITIAN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELSEY MARIE RAAB RD, LN, CDCES (REGISTERED DIETITIAN)
(605) 870-1036
Entity
Organization
Contact information
Practice address
276 TIGER WAY UNIT 1, HARRISBURG, SD 57032-2506
(605) 870-1036
Mailing address
904 E DONLIN ST, MILLER, SD 57362-1654
(605) 870-1036
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/06/2020
Last updated
11/10/2021
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