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Individual

TIERRA LYN CRONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RD, LD

Contact information

Practice address
7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 435-7171
Mailing address
2003 DODGE AVE, FORT WAYNE, IN 46805-3640
(260) 443-1259

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86330160
IN

Other

Enumeration date
09/25/2023
Last updated
09/25/2023
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