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Individual

KATHLEEN M BENDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.D.

Contact information

Practice address
110 E 5TH AVE, ANTIGO, WI 54409-2710
(715) 623-2351
Mailing address
PO BOX 1405, WAUSAU, WI 54402-1405
(715) 847-2304
(715) 847-2321

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1242
WI

Other

Enumeration date
08/01/2007
Last updated
08/01/2007
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