ELLIE VICTORSON

FORT WAYNE, IN
NPI1568230597
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IN  37003788A)
Enumeration Date2023-12-19
Last Update Date2024-01-10
Business Address
ELLIE VICTORSON RD, LD
1234 E DUPONT RD STE 6
FORT WAYNE, IN 46825-1545
Phone number: 260-425-6390
Mailing Address
ELLIE VICTORSON RD, LD
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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