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Individual

BRENDA MOECKLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, CD

Contact information

Practice address
1000 E MAIN ST, DANVILLE, IN 46122-1948
(317) 718-8163
(317) 718-8168
Mailing address
1000 E MAIN ST, DANVILLE, IN 46122-1948
(317) 718-8163
(317) 718-8168

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37002311A
IN

Other

Enumeration date
12/22/2016
Last updated
12/22/2016
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