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1205115649
CAROL A STULTS
FORT WAYNE, IN
NPI
1205115649
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Former Name
CAROL A SPRINGER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: IN 28072562A)
Enumeration Date
2011-08-16
Last Update Date
2012-08-06
Business Address
-- CAROL A STULTS NP
5649 COVENTRY LN
FORT WAYNE, IN 46804-7145
Phone number: 260-436-6565
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Mailing Address
-- CAROL A STULTS NP
5649 COVENTRY LN
FORT WAYNE, IN 46804-7145
Phone number: 260-436-6565
Copy
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