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Individual

JUDY MARY ERICKSON

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MNT

Contact information

Practice address
1200 1ST AVE E, SPENCER, IA 51301-4342
(712) 264-6198
(712) 264-6467
Mailing address
1200 1ST AVE E, SPENCER, IA 51301-4342
(712) 264-6198
(712) 264-6462

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
01212
IA

Other

Enumeration date
09/23/2005
Last updated
07/08/2007
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