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Individual

AMY E AMYX

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MNT

Contact information

Practice address
800 S TILLOTSON AVE, MUNCIE, IN 47304-4529
(765) 281-2000
(765) 281-2062
Mailing address
1717 W GLENN ELLYN DR, MUNCIE, IN 47304-2220
(765) 281-2000
(765) 281-2062

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
37001494A
IN

Other

Enumeration date
03/14/2006
Last updated
07/08/2007
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