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1144635145
TREVER VANDERHORST
FORT WAYNE, IN
NPI
1144635145
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 11017699A)
Enumeration Date
2014-06-27
Last Update Date
2022-10-03
Business Address
TREVER VANDERHORST MD
5693 YMCA PARK DR W
FORT WAYNE, IN 46835-3280
Phone number: 260-469-6603
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Mailing Address
TREVER VANDERHORST MD
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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