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1083188411
AMBER SMITH
FORT WAYNE, IN
NPI
1083188411
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Former Name
AMBER NOLDER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: IN 37002470A)
Enumeration Date
2019-01-18
Last Update Date
2021-10-12
Business Address
AMBER SMITH RD
412 S SCOTT RD
FORT WAYNE, IN 46814-9702
Phone number: 260-358-7180
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Mailing Address
AMBER SMITH RD
412 S SCOTT RD
FORT WAYNE, IN 46814-9702
Phone number: 765-432-1759
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