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SUSAN AHLBERG RD

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

Registrant NPI Number: 1609217124

Individual Registrant:
 SUSAN  AHLBERG RD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
100 HEALTH PARK DR  LOUISVILLE, CO 80027-9583 US
Tel: 303-673-1000  Fax: --

Contact information for business:
100 HEALTH PARK DR  LOUISVILLE, CO 80027-9583 US
Tel: 303-673-1000  Fax: --

Registration Information:
NPI: 1609217124
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y133V00000XDietary & Nutritional Service Providers
Dietitian, Registered
CO86012863

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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