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1073345872
MAKAYLA ANN DATKUN
FORT WAYNE, IN
NPI
1073345872
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IN 71015857A)
Enumeration Date
2024-08-19
Last Update Date
2024-11-15
Business Address
MAKAYLA ANN DATKUN FNP-BC
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845-1701
Phone number: 260-672-6637
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Mailing Address
MAKAYLA ANN DATKUN FNP-BC
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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