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1982178463
LYDIA BALLENGER
INDIANAPOLIS, IN
NPI
1982178463
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: IN 37001780A)
Enumeration Date
2019-01-17
Last Update Date
2019-01-17
Business Address
LYDIA BALLENGER
566 IRONRIDGE CT
INDIANAPOLIS, IN 46239-8890
Phone number: 765-506-0376
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Mailing Address
LYDIA BALLENGER
566 IRONRIDGE CT
INDIANAPOLIS, IN 46239-8890
Phone number: 765-506-0376
Copy
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