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Individual

AMY L O'CONNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CD

Contact information

Practice address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 830-5984
(920) 831-5093
Mailing address
122 E COLLEGE AVE, APPLETON, WI 54911-5794
(920) 996-3264
(920) 830-5910

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2053
WI

Other

Enumeration date
04/29/2019
Last updated
04/29/2019
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