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1609415421
MIKHAILA SAILOR
FORT WAYNE, IN
NPI
1609415421
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Former Name
MIKHAILA LICHTENBERGER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: IN 86078420)
Enumeration Date
2019-12-26
Last Update Date
2019-12-26
Business Address
MIKHAILA SAILOR RD
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4160
Phone number: 260-435-7995
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Mailing Address
MIKHAILA SAILOR RD
3316 CALEDON PL
FORT WAYNE, IN 46818-9136
Phone number: 260-494-2918
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