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Individual

BRENT HAUGLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, RD, LD

Contact information

Practice address
1310 LAKE ST, SPIRIT LAKE, IA 51360-1100
(712) 336-6400
Mailing address
1310 LAKE ST, SPIRIT LAKE, IA 51360-1100

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
002175
IA

Other

Enumeration date
01/16/2014
Last updated
01/16/2014
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