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Individual

SANDRA M HEIL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDN, LD, MPH

Contact information

Practice address
7575 DERBY LN, SHAKOPEE, MN 55379-7080
(952) 201-8946
Mailing address
7575 DERBY LN, SHAKOPEE, MN 55379-7080
(952) 201-8946

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1152
MN
133V00000X
Registered Dietitian
12260589-4901
UT

Other

Enumeration date
07/13/2021
Last updated
07/13/2021
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