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Individual

MRS. JODY MARIE ROSENDAHL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
1 HOSPITAL ROAD, BELCOURT, ND 58316
(701) 477-8442
Mailing address
505 JAY ST, BOTTINEAU, ND 58318-1461
(701) 228-3837

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
266
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
266
NORTH DAKOTA LICENSURE
ND
Enumeration date
04/26/2007
Last updated
10/27/2016
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