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Laura B Van Guilder, CRD

Dietitian, Registered in Iron Mountain, MI. Individual provider (NPI-1).

NPI number1396972162
StatusActive
Last updated in NPPESJun 18, 2009

Details

NPI
1396972162
Entity type
Individual (NPI-1)
Name
Laura B Van Guilder
Credential
CRD
Sex
Female
Sole proprietor
No
Enumeration date
Jun 18, 2009
Last updated
Jun 18, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered933515–Yes

Practice location

1721 S Stephenson Ave
Iron Mountain, MI 49801-3637

Phone 906-774-1313

Mailing address

Po Box 549
Iron Mountain, MI 49801-0549

Phone 906-774-1313

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All 25 Registered Dietitian providers in Iron Mountain · All 822 providers in Iron Mountain

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