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1154786143
CAROLYN RENE RICHIE
FORT WAYNE, IN
NPI
1154786143
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: IN 37002082A)
Enumeration Date
2015-12-18
Last Update Date
2015-12-18
Business Address
Mrs. CAROLYN RENE RICHIE RD, CD
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
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Mailing Address
Mrs. CAROLYN RENE RICHIE RD, CD
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
Copy
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