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1164466900
PEI ENG BURNS
FORT WAYNE, IN
NPI
1164466900
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: IN 37000012A)
Enumeration Date
2006-06-15
Last Update Date
2009-02-24
Business Address
-- PEI ENG BURNS RD CD
4210 FLAGSTAFF CV
FORT WAYNE, IN 46815-4417
Phone number: 260-489-9009
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Mailing Address
-- PEI ENG BURNS RD CD
4210 FLAGSTAFF CV
FORT WAYNE, IN 46815-4417
Phone number: 260-489-9009
Copy
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