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1083999627
STEPHANIE NICOLE OVERMAN
WABASH, IN
NPI
1083999627
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IN 71003726A)
Enumeration Date
2011-10-14
Last Update Date
2018-06-29
Business Address
-- STEPHANIE NICOLE OVERMAN NP
1025 MANCHESTER AVE
WABASH, IN 46992-1425
Phone number: 260-563-7421
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Mailing Address
-- STEPHANIE NICOLE OVERMAN NP
3702 NEW VISION DR BLDG B
FORT WAYNE, IN 46845-1703
Phone number: 260-563-7421
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