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1154617850
SUSAN E. HECKLEY
FORT WAYNE, IN
NPI
1154617850
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71000511A)
Enumeration Date
2011-06-22
Last Update Date
2016-12-22
Business Address
-- SUSAN E. HECKLEY NP
7916 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4140
Phone number: 260-432-2297
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Mailing Address
-- SUSAN E. HECKLEY NP
6920 POINTE INVERNESS WAY STE 200 MEDPARTNERS, ATTN: BARB COPELAND
FORT WAYNE, IN 46804-7934
Phone number: 260-479-3514
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