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1003807850
NORTHEAST MEDICAL ASSOCIATES, PC
FORT WAYNE, IN
NPI
1003807850
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Entity Type
Organization
Authorized Contact
KAREN SUE EVANS
Physician
260-480-2600
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 50004246A)
Enumeration Date
2005-11-01
Last Update Date
2011-03-09
Business Address
NORTHEAST MEDICAL ASSOCIATES, PC
1234 E. DUPONT RD. SUITE 6
FORT WAYNE, IN 46825-1545
Phone number: 260-480-2600
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Mailing Address
NORTHEAST MEDICAL ASSOCIATES, PC
1234 E. DUPONT RD. SUITE 6
FORT WAYNE, IN 46825-1545
Phone number: 260-480-2600
Copy
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