Individual
MRS. SUSAN LYNN NORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 255-6376
Mailing address
13261 21ST AVE SW, PILLAGER, MN 56473-2386
(218) 746-3135
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2008
MN
Other
Enumeration date
04/02/2008
Last updated
04/02/2008
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