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1023703600
JACQUOLYNN LEE PLOUGHE
FORT WAYNE, IN
NPI
1023703600
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: IN 28198300A)
Enumeration Date
2023-04-10
Last Update Date
2023-04-10
Business Address
JACQUOLYNN LEE PLOUGHE BSN, RN, CRRN
2200 RANDALLIA DR
FORT WAYNE, IN 46805-4699
Phone number: 260-266-4172
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Mailing Address
JACQUOLYNN LEE PLOUGHE BSN, RN, CRRN
1282 SACRED OAK CT
FORT WAYNE, IN 46818-0142
Phone number: 260-530-6126
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