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Individual

MRS. KATIE NICOLE KLUG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
2615 FAIRWAY ST, DICKINSON, ND 58601-2590
(701) 456-6000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
(701) 456-4866

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1155
ND

Other

Enumeration date
10/13/2020
Last updated
05/11/2022
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