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1154981389
REBECCA PADEN
FORT WAYNE, IN
NPI
1154981389
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: IN 37002271)
Enumeration Date
2019-06-19
Last Update Date
2019-06-19
Business Address
REBECCA PADEN RD
1315 DIRECTORS ROW STE 210
FORT WAYNE, IN 46808-1284
Phone number: 260-484-6818
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Mailing Address
REBECCA PADEN RD
2315 INDIAN VILLAGE BLVD
FORT WAYNE, IN 46809-1413
Phone number: 260-715-3613
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