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1154970879
CASEY ELIZABETH PETERSON
FORT WAYNE, IN
NPI
1154970879
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Former Name
CASEY E BYERS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71009322A)
Enumeration Date
2019-09-05
Last Update Date
2023-09-05
Business Address
CASEY ELIZABETH PETERSON FNP
15022 BUTTERBOUGH LN
FORT WAYNE, IN 46814-8833
Phone number: 260-445-5646
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Mailing Address
CASEY ELIZABETH PETERSON FNP
3512 STELLHORN RD
FORT WAYNE, IN 46815-4631
Phone number: 260-445-5646
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