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Individual

ABIGAIL ELLIFSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
W346N5312 ELM AVE, OKAUCHEE, WI 53069-9756
(414) 793-3550
Mailing address
W346N5312 ELM AVE, OKAUCHEE, WI 53069-9756
(414) 793-3550

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
02/10/2025
Last updated
12/04/2025
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