CARRIE JEAN BOOTS

FORT WAYNE, IN
NPI1003012352
Former NameCARRIE JEAN BALLER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: IN  71002416A)
Enumeration Date2007-06-25
Last Update Date2020-07-23
Business Address
CARRIE JEAN BOOTS N.P.
7910 W JEFFERSON BLVD STE 108
FORT WAYNE, IN 46804-4159
Phone number: 260-484-8830
Mailing Address
CARRIE JEAN BOOTS N.P.
6610 MUTUAL DR
FORT WAYNE, IN 46825-4236
Phone number: 260-484-8830
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