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1205490877
ELISHA LYNN HARDESTY
FORT WAYNE, IN
NPI
1205490877
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: IN 05012746A)
Enumeration Date
2019-04-29
Last Update Date
2023-08-28
Business Address
ELISHA LYNN HARDESTY DPT
11143 PARKVIEW PLAZA DR STE 100
FORT WAYNE, IN 46845-1728
Phone number: 260-266-7400
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Mailing Address
ELISHA LYNN HARDESTY DPT
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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