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Individual

LINDA RELLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LRD

Contact information

Practice address
300 N 7TH ST, BISMARCK, ND 58501-4439
(701) 323-8627
Mailing address
4301 OVERLAND RD, BISMARCK, ND 58503-8838
(701) 471-3229

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
104
ND

Other

Enumeration date
12/29/2016
Last updated
12/29/2016
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