Individual
JENNIFER LYNN BANGERT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
831 COLORADO AVE, GRAND JUNCTION, CO 81501-3516
(970) 243-2907
(970) 243-0170
Mailing address
2332 K 3/4 RD, GRAND JUNCTION, CO 81505-9658
(970) 255-9568
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
803289
CO
Other
Enumeration date
06/20/2005
Last updated
07/08/2007
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