CHRIS J TREACE

FORT WAYNE, IN
NPI1093880833
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WP0809X Registered Nurse Psychiatric/Mental Health, Adult
(Licence: IN  28123633A)
Enumeration Date2006-11-21
Last Update Date2007-07-08
Business Address
CHRIS J TREACE RN
909 E STATE BLVD
FORT WAYNE, IN 46805-3404
Phone number: 260-481-2700
Mailing Address
CHRIS J TREACE RN
909 E STATE BLVD
FORT WAYNE, IN 46805-3404
Phone number: 260-481-2700
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