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1215126958
SUSAN D. OVERCASH
FORT WAYNE, IN
NPI
1215126958
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IN 71001699A)
Enumeration Date
2007-10-18
Last Update Date
2007-11-20
Business Address
-- SUSAN D. OVERCASH NP
2622 LAKE AVE
FORT WAYNE, IN 46805-5410
Phone number: 260-460-3100
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Mailing Address
-- SUSAN D. OVERCASH NP
2622 LAKE AVE
FORT WAYNE, IN 46805-5410
Phone number: 260-460-3100
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