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Individual

GEORGIANNA FAYE ELLIOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
REGISTERED DIETITIAN

Contact information

Practice address
3525 MONTEREY DR, ST LOUIS PARK, MN 55416-5275
(952) 993-6200
Mailing address
2108 RED TAIL LN, NORTH MANKATO, MN 56003-1651
(507) 388-8458

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1595
MN

Other

Enumeration date
12/14/2006
Last updated
10/31/2018
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