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Individual
MS. MARILYN KAYE TANNER-BLASIAR
Active
Individual
MS. MARILYN KAYE TANNER-BLASIAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
2001004545
MO
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
2001004545
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
350122289
—
MO
Enumeration date
05/12/2020
Last updated
04/17/2025
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