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1013497668
CORISSA PIATKA
FORT WAYNE, IN
NPI
1013497668
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: IN 26027801A)
Enumeration Date
2018-08-14
Last Update Date
2018-08-14
Business Address
CORISSA PIATKA
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845-1701
Phone number: 260-266-1000
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Mailing Address
CORISSA PIATKA
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845-1701
Phone number: 260-266-4428
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