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1073963351
JENIFER KAY FORTNEY
FORT WAYNE, IN
NPI
1073963351
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: IN 10002104A)
Enumeration Date
2016-06-16
Last Update Date
2019-12-11
Business Address
Miss JENIFER KAY FORTNEY PA-C
5650 COVENTRY LN
FORT WAYNE, IN 46804-7140
Phone number: 217-508-8478
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Mailing Address
Miss JENIFER KAY FORTNEY PA-C
5650 COVENTRY LN
FORT WAYNE, IN 46804-7140
Phone number: 217-508-8478
Copy
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