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1053804666
SAMANTHA RAFFIEED
FORT WAYNE, IN
NPI
1053804666
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IN 10002538A)
Enumeration Date
2018-06-08
Last Update Date
2022-10-11
Business Address
SAMANTHA RAFFIEED
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Phone number: 260-672-6620
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Mailing Address
SAMANTHA RAFFIEED
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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