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Individual

CONNER YODER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RDN, LD

Contact information

Practice address
9804 ACACIA PSGE, FORT WAYNE, IN 46835-9143
(260) 479-0080
Mailing address
9804 ACACIA PSGE, FORT WAYNE, IN 46835-9143
(260) 479-0080

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
08691
OH
133V00000X
Registered Dietitian
Primary
37002960A
IN
133VN1004X
Pediatric Nutrition Registered Dietitian
37002960A
IN
133VN1005X
Renal Nutrition Registered Dietitian
37002960A
IN

Other

Enumeration date
02/28/2019
Last updated
10/30/2022
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