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Organization

FREE STATE NUTRITION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. HEATHER FIORE RD (OWNER)
(785) 331-6435
Entity
Organization

Contact information

Practice address
2721 W 6TH ST STE E, LAWRENCE, KS 66049-4302
(785) 331-6435
(585) 332-4116
Mailing address
3308 TOMAHAWK DR, LAWRENCE, KS 66049-1928

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2134
KS

Other

Enumeration date
02/15/2018
Last updated
10/26/2022
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