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Individual

DIANE MAXFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., R.D.

Contact information

Practice address
2121 NORTH AVE, GRAND JUNCTION, CO 81501-6428
(970) 242-0731
(970) 244-1323
Mailing address
2092 BROADWAY, GRAND JUNCTION, CO 81503-8703
(970) 256-0933

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
721211

Other

Enumeration date
08/29/2006
Last updated
07/10/2007
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