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RUPAL TRIVEDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
2200 RANDALLIA DR, FORT WAYNE, IN 46805-4638
(260) 373-4280
(260) 373-4288
Mailing address
1853 BAYVIEW DR, FORT WAYNE, IN 46815-4210
(260) 373-4280

Taxonomy

Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
86058303
IN

Other

Enumeration date
05/29/2015
Last updated
05/29/2015
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