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1205659059
ETHAN ROBERT JONES
FORT WAYNE, IN
NPI
1205659059
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Enumeration Date
2024-10-31
Last Update Date
2024-10-31
Business Address
ETHAN ROBERT JONES PA-C
7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4133
Phone number: 260-436-8686
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Mailing Address
ETHAN ROBERT JONES PA-C
335 LONG BOW CT
VALPARAISO, IN 46383-8308
Phone number: 219-286-0054
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