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1194053355
SUZANNE M PATTISON
FORT WAYNE, IN
NPI
1194053355
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: IN 37001826A)
Enumeration Date
2009-11-30
Last Update Date
2010-02-25
Business Address
-- SUZANNE M PATTISON RD
10515 ILLINOIS RD
FORT WAYNE, IN 46814-9182
Phone number: 260-373-9233
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Mailing Address
-- SUZANNE M PATTISON RD
1234 E DUPONT RD SUITE 3
FORT WAYNE, IN 46825-1545
Phone number: 260-373-9965
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