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Individual

TANYA ROSE CHRISTOPHERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, LD

Contact information

Practice address
109 COURT AVE S, PINE MEDICAL CENTER, SANDSTONE, MN 55072-5120
(320) 245-2211
Mailing address
109 COURT AVE S, PINE MEDICAL CENTER, SANDSTONE, MN 55072-5120
(320) 245-2211

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
07/13/2010
Last updated
07/13/2010
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