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Individual

KATIE LEIGH WALZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7501 S 27TH ST, LINCOLN, NE 68512-4802
(402) 481-6300
Mailing address
7501 S 27TH ST, LINCOLN, NE 68512-4802

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
06/27/2012
Last updated
06/27/2012
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