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1205305950
MEREDITH ROTH
FORT WAYNE, IN
NPI
1205305950
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IN 10002623A)
Enumeration Date
2018-11-23
Last Update Date
2024-06-01
Business Address
MEREDITH ROTH PA-C
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845-1701
Phone number: 260-266-1700
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Mailing Address
MEREDITH ROTH PA-C
608 UNION CHAPEL RD
FORT WAYNE, IN 46845-9357
Phone number: 260-824-4440
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