Organization
SUSAN L. DELAGRANGE
Active
Other names
Susan Delagrange Sole Mbr
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN LYNN DELAGRANGE MS., RD. (REGISTERED DIETITIAN)
(260) 433-3367
Entity
Organization
Contact information
Practice address
2607 BARRY KNOLL WAY, FORT WAYNE, IN 46845-1942
(260) 433-3367
(260) 637-5780
Mailing address
2607 BARRY KNOLL WAY, FORT WAYNE, IN 46845-1942
(260) 433-3367
(260) 637-5780
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
910521
IN
Other
Enumeration date
02/09/2010
Last updated
03/15/2010
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