Individual
MRS. AMANDA LYNN GRUPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD, CSR
Contact information
Practice address
350 MAIN ST, HURON, OH 44839-1647
(419) 602-0293
Mailing address
2307 SEMINARY RD, MILAN, OH 44846-9476
(520) 510-8217
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
929935
MI
Other
Enumeration date
06/19/2017
Last updated
06/19/2017
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