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1114912482
ANN REIDENBACH
FORT WAYNE, IN
NPI
1114912482
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: IN 37000578A)
Enumeration Date
2005-09-13
Last Update Date
2012-01-23
Business Address
ANN REIDENBACH MPH RD CD
6522 CONSTITUTION DR
FORT WAYNE, IN 46804-1550
Phone number: 260-433-3877
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Mailing Address
ANN REIDENBACH MPH RD CD
6522 CONSTITUTION DR
FORT WAYNE, IN 46804-1550
Phone number: 260-433-3877
Copy
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