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1487948733
PENNY JEAN ATKINSON
FORT WAYNE, IN
NPI
1487948733
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: IN 37001912A)
Enumeration Date
2011-06-03
Last Update Date
2011-06-03
Business Address
MS. PENNY JEAN ATKINSON R.D., C.D.E
4930 ILLINOIS RD
FORT WAYNE, IN 46804-5105
Phone number: 260-341-2923
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Mailing Address
MS. PENNY JEAN ATKINSON R.D., C.D.E
14610 WATERBROOK RD
FORT WAYNE, IN 46814-9142
Phone number:
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