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Individual

MS. TAYLOR C JOLLIFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RD

Contact information

Practice address
1300 E BRADFORD PKWY BLDG B, SPRINGFIELD, MO 65804-4294
(417) 761-5000
(417) 761-5011
Mailing address
2885 W BATTLEFIELD ST, SPRINGFIELD, MO 65807-3952
(417) 761-5000

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2018008577
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
350052854
MO
Enumeration date
03/30/2018
Last updated
05/04/2026
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