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Individual

MRS. KATHERINE R CAPEN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
RD LD

Contact information

Practice address
4210 FLAGSTAFF CV, FORT WAYNE, IN 46815-4417
(260) 489-9009
(260) 489-5057
Mailing address
4210 FLAGSTAFF CV, FORT WAYNE, IN 46815-4417
(260) 489-9009
(260) 489-5057

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37001493A
IN

Other

Enumeration date
06/11/2006
Last updated
07/09/2007
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