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Individual

MRS. KAREN ELAINA WOODLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD, CD, CDE

Contact information

Practice address
N4688 COUNTY ROAD Q, JEFFERSON, WI 53549-9556
(608) 295-6787
Mailing address
N4688 COUNTY ROAD Q, JEFFERSON, WI 53549-9556
(608) 295-6787

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1396-029
WI
133V00000X
Registered Dietitian
164.004903
IL

Other

Enumeration date
05/24/2012
Last updated
05/24/2012
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