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1053793430
CHRISTINE SORG
FORT WAYNE, IN
NPI
1053793430
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: IN 37002255A)
Enumeration Date
2015-06-23
Last Update Date
2015-06-23
Business Address
CHRISTINE SORG RD
1234 E DUPONT RD SUITE 1
FORT WAYNE, IN 46825-1545
Phone number: 260-469-6610
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Mailing Address
CHRISTINE SORG RD
3909 NEW VISION DR
FORT WAYNE, IN 46845-1725
Phone number: 260-469-6610
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