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Individual

MRS. DENISE ANN CLEVELAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, RD, LD

Contact information

Practice address
523 N 3RD ST, BRAINERD, MN 56401-3054
(218) 828-7640
Mailing address
19304 WOODS EDGE TRAIL, BRAINERD, MN 56401
(218) 825-0980

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1053
MN

Other

Enumeration date
10/17/2006
Last updated
07/08/2007
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