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1104862382
JEAN D. ROSS
FORT WAYNE, IN
NPI
1104862382
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IN 71000818A)
Enumeration Date
2006-06-22
Last Update Date
2017-01-03
Business Address
-- JEAN D. ROSS NP
2516 E DUPONT RD
FORT WAYNE, IN 46825-1608
Phone number: 260-434-6076
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Mailing Address
-- JEAN D. ROSS NP
6920 POINTE INVERNESS WAY STE 200 MEDPARTNERS, ATTN: BARB COPELAND
FORT WAYNE, IN 46804-7934
Phone number: 260-479-3514
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