SUSAN DELAGRANGE

FORT WAYNE, IN
NPI1437118445
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IN  37001523)
Enumeration Date2006-03-20
Last Update Date2007-07-08
Business Address
-- SUSAN DELAGRANGE RDCD
7916 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4140
Phone number: 260-432-2297
Mailing Address
-- SUSAN DELAGRANGE RDCD
PO BOX 2505
FORT WAYNE, IN 46801-2505
Phone number: 260-432-2297
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