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1063077261
WILLIAM J BORDERS
FORT WAYNE, IN
NPI
1063077261
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IN 71009025A)
Enumeration Date
2019-05-03
Last Update Date
2022-10-12
Business Address
WILLIAM J BORDERS
3909 NEW VISION DR
FORT WAYNE, IN 46845-1725
Phone number: 260-469-6610
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Mailing Address
WILLIAM J BORDERS
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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