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SALLY AYOTTE RD

>> Dietitian, Registered >> Dietary & Nutritional Service Providers

Registrant NPI Number: 1295013027

Individual Registrant:
 SALLY  AYOTTE RD
Gender: F
Sole Proprietor

Location and contact information for practice:
521 E 3RD ST  SALIDA, CO 81201-2817 US
Tel: 303-908-2403  Fax: --

Contact information for business:
PO BOX 163  SALIDA, CO 81201-0163 US
Tel: 303-908-2403  Fax: --

Registration Information:
NPI: 1295013027
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y133V00000XDietary & Nutritional Service Providers
Dietitian, Registered
CO15958

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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