REBECCA KONKIN

FORT WAYNE, IN
NPI1053376186
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  71001535A)
Enumeration Date2006-04-20
Last Update Date2007-10-30
Business Address
-- REBECCA KONKIN NP
2700 LAFAYETTE ST STE B-10
FORT WAYNE, IN 46806-1100
Phone number: 260-744-7004
Mailing Address
-- REBECCA KONKIN NP
2700 LAFAYETTE ST STE B-10
FORT WAYNE, IN 46806-1100
Phone number: 260-744-7004
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