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Individual

MRS. MARLA RAE LOVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LRD

Contact information

Practice address
400 S MINNESOTA STREET, CROOKSTON, MN 56716
(218) 281-9100
(218) 281-9189
Mailing address
PO BOX 606, CROOKSTON, MN 56716
(218) 281-9100
(218) 281-9189

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
432
ND
133V00000X
Registered Dietitian

Other

Enumeration date
08/31/2006
Last updated
06/18/2008
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