JENNA DEFORE

INDIANAPOLIS, IN
NPI1386981702
Former NameJENNA KOEHLER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IN  37002145A)
Enumeration Date2013-01-04
Last Update Date2013-01-04
Business Address
-- JENNA DEFORE RD
3644 W 46TH ST
INDIANAPOLIS, IN 46228-6799
Phone number: 812-239-7936
Mailing Address
-- JENNA DEFORE RD
3644 W 46TH ST
INDIANAPOLIS, IN 46228-6799
Phone number:
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