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1023596665
DAVID M GOETZ
FORT WAYNE, IN
NPI
1023596665
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-08-06
Last Update Date
2018-08-06
Business Address
DAVID M GOETZ
2525 LAKE AVE
FORT WAYNE, IN 46805-5407
Phone number: 260-484-4153
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Mailing Address
DAVID M GOETZ
2525 LAKE AVE
FORT WAYNE, IN 46805-5407
Phone number: 260-484-4153
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