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1679829550
MARY HARTER
FORT WAYNE, IN
NPI
1679829550
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: IN 37002195A)
Enumeration Date
2012-07-30
Last Update Date
2012-07-30
Business Address
-- MARY HARTER RD
3909 NEW VISION DR
FORT WAYNE, IN 46845-1725
Phone number: 260-469-6602
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Mailing Address
-- MARY HARTER RD
1234 E DUPONT RD SUITE 1
FORT WAYNE, IN 46825-1545
Phone number: 260-373-9965
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