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1063616340
POSSIBILITIES NORTHEAST, LLC
FORT WAYNE, IN
NPI
1063616340
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Entity Type
Organization
Authorized Contact
NANCY MOORE
Director
260-338-1241
Organization Subpart ?
No
Primary Taxonomy
261QM1300X Clinic/Center Multi-Specialty
Enumeration Date
2007-06-12
Last Update Date
2007-09-05
Business Address
POSSIBILITIES NORTHEAST, LLC
808 MILL LAKE ROAD
FORT WAYNE, IN 46845-6400
Phone number: 260-338-1241
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Mailing Address
POSSIBILITIES NORTHEAST, LLC
808 MILL LAKE ROAD
FORT WAYNE, IN 46845-6400
Phone number: 260-338-1241
Copy
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