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1063052264
JENNIFER ROSE
FORT WAYNE, IN
NPI
1063052264
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: IN 37001996A)
Enumeration Date
2020-01-15
Last Update Date
2020-01-15
Business Address
JENNIFER ROSE RD
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
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Mailing Address
JENNIFER ROSE RD
1606 MILLENNIUM XING
FORT WAYNE, IN 46845-9198
Phone number:
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