STACEY MATAVULI

BLOOMINGTON, IN
NPI1144433764
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IN  37001049A)
Enumeration Date2007-05-08
Last Update Date2007-07-08
Business Address
-- STACEY MATAVULI
601 W 2ND ST
BLOOMINGTON, IN 47403-2317
Phone number: 812-353-9568
Mailing Address
-- STACEY MATAVULI
601 W 2ND ST
BLOOMINGTON, IN 47403-2317
Phone number: 812-353-9568
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