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1144041039
AUTUMNE BERGHOFF
FORT WAYNE, IN
NPI
1144041039
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2024-10-23
Last Update Date
2024-10-23
Business Address
AUTUMNE BERGHOFF PA-C
5050 N CLINTON ST
FORT WAYNE, IN 46825-5886
Phone number: 260-484-8551
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Mailing Address
AUTUMNE BERGHOFF PA-C
5052 N CLINTON ST
FORT WAYNE, IN 46825-5822
Phone number:
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