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Individual

JOANNE SUE KEELER-ROBERTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CN

Contact information

Practice address
1107 MANITOU AVE, MANITOU SPRINGS, CO 80829-2910
(719) 650-4584
(719) 687-8055
Mailing address
1107 MANITOU AVE, MANITOU SPRINGS, CO 80829-2910
(719) 650-4584
(719) 687-8055

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
611510
CO
133NN1002X
Nutrition Education Nutritionist
611510
CO

Other

Enumeration date
05/11/2008
Last updated
05/11/2008
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