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1124302633
GEOFFREY A. MCCORD
FORT WAYNE, IN
NPI
1124302633
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71003735A)
Enumeration Date
2011-10-03
Last Update Date
2017-11-29
Business Address
GEOFFREY A. MCCORD NP
7900 W JEFFERSON BLVD STE 306
FORT WAYNE, IN 46804-4128
Phone number: 260-458-3610
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Mailing Address
GEOFFREY A. MCCORD NP
855 W. MADISON STREET
OAK PARK, IL 60302
Phone number: 708-386-1000
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