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Individual

BRENNA STEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, LRD

Contact information

Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-2000
Mailing address
1618 9TH ST N, FARGO, ND 58102-2316
(701) 899-0206

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1132
ND

Other

Enumeration date
05/22/2018
Last updated
05/22/2018
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