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Individual

MS. MARGO JANE HOFFMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.D.L.N.

Contact information

Practice address
111 WASHINGTON AVE NW, WAGNER, SD 57380
(605) 384-3621
(605) 384-3293
Mailing address
111 WASHINGTON AVE NW, WAGNER, SD 57380
(605) 384-3621
(605) 384-3293

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0151
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5540030
SD
05
5540100
SD
Enumeration date
07/24/2006
Last updated
07/09/2007
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