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Individual

MRS. JULIA ANNE RIDENOUR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
601 JOHN ST STE W-308, KALAMAZOO, MI 49007-5357
(269) 341-7688
(269) 341-7187
Mailing address
601 JOHN ST, BOX 27, KALAMAZOO, MI 49007-5341
(269) 341-6860
(269) 341-7187

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
722547
MI

Other

Enumeration date
08/19/2013
Last updated
10/18/2017
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