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Individual

JENNIFER ANNA CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, LD

Contact information

Practice address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
(763) 228-3965
Mailing address
3855 YELLOWSTONE LN N, PLYMOUTH, MN 55446-2817
(763) 228-3965

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3970
MN

Other

Enumeration date
02/28/2019
Last updated
02/28/2019
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