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1083123103
MARIA AMBUSH
FORT WAYNE, IN
NPI
1083123103
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71007511A)
Enumeration Date
2017-09-20
Last Update Date
2017-09-20
Business Address
Mrs. MARIA AMBUSH NP-C
7900 W JEFFERSON BLVD STE 104
FORT WAYNE, IN 46804-4128
Phone number: 260-435-7350
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Mailing Address
Mrs. MARIA AMBUSH NP-C
11825 KEEPERS GATE
SPENCERVILLE, IN 46788-9289
Phone number:
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