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1073623419
CAROLINE MATVYA
FORT WAYNE, IN
NPI
1073623419
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: IN 71001142A)
Enumeration Date
2006-08-30
Last Update Date
2007-12-06
Business Address
-- CAROLINE MATVYA
1010 W WASHINGTON CENTER RD
FORT WAYNE, IN 46825-4155
Phone number: 269-450-3096
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Mailing Address
-- CAROLINE MATVYA
PO BOX 15753
FORT WAYNE, IN 46885-5753
Phone number:
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