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1134528037
BRENDA ELAM
FORT WAYNE, IN
NPI
1134528037
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: IN 28161510A)
Enumeration Date
2014-08-15
Last Update Date
2014-08-15
Business Address
-- BRENDA ELAM RN
909 E STATE BLVD
FORT WAYNE, IN 46805-3404
Phone number: 260-481-2700
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Mailing Address
-- BRENDA ELAM RN
909 E STATE BLVD
FORT WAYNE, IN 46805-3404
Phone number: 260-481-2700
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