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1033742184
HAMUTYINEI H MAMUTSE
FORT WAYNE, IN
NPI
1033742184
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OH APRN.CNP.026184)
Enumeration Date
2020-02-18
Last Update Date
2020-02-18
Business Address
HAMUTYINEI H MAMUTSE
3512 STELLHORN RD
FORT WAYNE, IN 46815-4631
Phone number: 260-483-9081
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Mailing Address
HAMUTYINEI H MAMUTSE
PO BOX 392552
PITTSBURGH, PA 15251-9500
Phone number: 260-483-9081
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