Individual
DEBORAH VINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSAE, RD, CDE
Contact information
Practice address
11725 N ILLINOIS ST, SUITE 355, CARMEL, IN 46032-3008
(317) 688-4948
(317) 688-6318
Mailing address
250 N SHADELAND AVE, SUITE 130, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37001179A
IN
Other
Enumeration date
12/12/2013
Last updated
04/04/2014
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