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Individual

MRS. TASRINA DOWLA DARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
550 OSBORNE RD NE, FRIDLEY, MN 55432-2718
(763) 236-3168
Mailing address
16125 XYLITE ST NE, HAM LAKE X, MN 55304-5724
(763) 502-6686

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2555
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
964412
ADA REGISTRATION
Enumeration date
11/30/2006
Last updated
07/08/2007
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