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1407466766
KELLY SORACCO
FORT WAYNE, IN
NPI
1407466766
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: IN 37001137A)
Enumeration Date
2020-08-03
Last Update Date
2020-08-31
Business Address
KELLY SORACCO RDN
1234 E DUPONT RD STE 3
FORT WAYNE, IN 46825-1545
Phone number: 260-425-5970
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Mailing Address
KELLY SORACCO RDN
11109 PARKVIEW PLAZA DRIVE MAILBOX 117
FORT WAYNE, IN 46845-1701
Phone number: 260-266-8210
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