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Individual

GLORIA MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8233 GLENCARIN BLVD, FORT WAYNE, IN 46804-5784
(260) 425-5470
(260) 425-5475
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37004000A
IN

Other

Enumeration date
03/28/2024
Last updated
04/05/2024
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