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Individual

PHALEN MEYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LN

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
N239
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
N239
LICENSE NUMBER
MN
Enumeration date
03/07/2023
Last updated
06/27/2024
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