JULEA B. DIFFENDERFER

FORT WAYNE, IN
NPI1679934707
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IN  37001035A)
Enumeration Date2016-03-17
Last Update Date2017-01-18
Business Address
-- JULEA B. DIFFENDERFER RD, CDE
2516 E DUPONT RD
FORT WAYNE, IN 46825-1608
Phone number: 260-458-3725
Mailing Address
-- JULEA B. DIFFENDERFER RD, CDE
6920 POINTE INVERNESS WAY STE 200 MEDPARTNERS, ATTN: MEGAN FORTNEY
FORT WAYNE, IN 46804-7934
Phone number: 260-479-3515
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