Individual
MR. JEROME SABO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
8701 BROADWAY, MERRILLVILLE BRA, IN 46410-7035
(219) 738-5560
(219) 738-6620
Mailing address
2020 WHITE OAK AVE, WHITING, IN 46394-2012
(773) 744-5607
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37001752A
IN
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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