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Individual

MS. BRENNA SWANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LRD

Contact information

Practice address
210 HIGHWAY 2 W, STE 10, DEVILS LAKE, ND 58301-2913
(701) 331-9334
(888) 893-7316
Mailing address
10282 61ST ST NE, LAWTON, ND 58345-9260
(701) 331-9334

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
628
ND

Other

Enumeration date
12/22/2006
Last updated
04/18/2017
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