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1023487592
LINDSEY MARIE FULLER
FORT WAYNE, IN
NPI
1023487592
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
314000000X Skilled Nursing Facility
(Licence: IN 06005064A)
Enumeration Date
2015-09-15
Last Update Date
2017-04-23
Business Address
-- LINDSEY MARIE FULLER PTA
10603 WILD FLOWER PL
FORT WAYNE, IN 46845-1687
Phone number: 260-705-7098
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Mailing Address
-- LINDSEY MARIE FULLER PTA
10603 WILD FLOWER PL
FORT WAYNE, IN 46845-1687
Phone number: 260-705-7098
Copy
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