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1003314246
STEPHANIE ANN CLOUSE
FORT WAYNE, IN
NPI
1003314246
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71007750A)
Enumeration Date
2018-01-23
Last Update Date
2020-09-23
Business Address
STEPHANIE ANN CLOUSE NP-C
7910 W JEFFERSON BLVD STE 120
FORT WAYNE, IN 46804-4159
Phone number: 260-435-7612
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Mailing Address
STEPHANIE ANN CLOUSE NP-C
6920 POINTE INVERNESS WAY STE 200
FORT WAYNE, IN 46804-7934
Phone number: 260-479-3514
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