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Individual

HANNAH E. BURNSIDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDN, LD

Contact information

Practice address
1532 W 32ND ST STE 202, JOPLIN, MO 64804-1627
(417) 347-5700
Mailing address
2214 WISCONSIN AVE, JOPLIN, MO 64804-2258
(417) 840-2617

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2020022682
MO
133V00000X
Registered Dietitian
86173577
MO

Other

Enumeration date
11/30/2020
Last updated
09/06/2023
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