JACQUELINE PHYLLIS PARKS

FORT WAYNE, IN
NPI1154060028
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: IN  28179527A)
Enumeration Date2022-05-31
Last Update Date2022-05-31
Business Address
Mrs. JACQUELINE PHYLLIS PARKS RN
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
Mailing Address
Mrs. JACQUELINE PHYLLIS PARKS RN
716 COUNTY ROAD 8
CORUNNA, IN 46730-9756
Phone number: 260-318-1046
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