GWEN ZUMWALT

MATTOON, IL
NPI1578899654
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IL  164005410)
Enumeration Date2009-10-26
Last Update Date2009-10-26
Business Address
-- GWEN ZUMWALT
1000 HEALTH CENTER DR
MATTOON, IL 61938-9253
Phone number: 217-258-2199
Mailing Address
-- GWEN ZUMWALT
571 JAMES DR
CHARLESTON, IL 61920-1887
Phone number: 217-258-2199
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