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Individual

DONNA MATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, LDN, CDE

Contact information

Practice address
600 JOHN DEERE RD STE 304, MOLINE, IL 61265-6812
(309) 779-5260
Mailing address
PO BOX 472, VIOLA, IL 61486-0472

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.000880
IL

Other

Enumeration date
05/11/2015
Last updated
02/26/2020
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