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1720620503
STACEY BOLANDER
INDIANAPOLIS, IN
NPI
1720620503
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: IN 37000665)
Enumeration Date
2019-10-12
Last Update Date
2019-10-12
Business Address
STACEY BOLANDER RDN, RN
5510 S EAST ST STE H
INDIANAPOLIS, IN 46227-1938
Phone number: 317-924-8425
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Mailing Address
STACEY BOLANDER RDN, RN
5946 ALDRIDGE DR
WHITESTOWN, IN 46075-4419
Phone number: 317-506-0814
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