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Organization

HEADWATERS NUTRITION COUNSELING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMI SUE ROKALA RDN, CLC (REGISTERED DIETITIAN NUTRITIONIST)
(218) 689-1907
Entity
Organization

Contact information

Practice address
118 PAUL BUNYAN DR S, BEMIDJI, MN 56601-3236
(218) 689-1907
Mailing address
43000 COUNTY 3, LAPORTE, MN 56461-4139
(218) 689-1907

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
08/23/2022
Last updated
09/28/2022
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