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Individual

MRS. JESSICA SUE FRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, CD

Contact information

Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-5047
Mailing address
3505 W OLD OAKS DR, GREENFIELD, WI 53221-3011

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1978
WI

Other

Enumeration date
12/22/2006
Last updated
07/08/2007
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