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Individual

JESSICA MCDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
300 1ST CAPITOL DR, SAINT CHARLES, MO 63301-2844
(636) 669-2271
Mailing address
71 AUSTIN OAKS DR, MOSCOW MILLS, MO 63362-0401
(636) 290-2993

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2022018964
MO

Other

Enumeration date
08/18/2022
Last updated
08/18/2022
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