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1053376186
REBECCA KONKIN
FORT WAYNE, IN
NPI
1053376186
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IN 71001535A)
Enumeration Date
2006-04-20
Last Update Date
2007-10-30
Business Address
-- REBECCA KONKIN NP
2700 LAFAYETTE ST STE B-10
FORT WAYNE, IN 46806-1100
Phone number: 260-744-7004
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Mailing Address
-- REBECCA KONKIN NP
2700 LAFAYETTE ST STE B-10
FORT WAYNE, IN 46806-1100
Phone number: 260-744-7004
Copy
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