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1215244421
LISA M CLEMENS
FORT WAYNE, IN
NPI
1215244421
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IN 10001224A)
Enumeration Date
2010-09-09
Last Update Date
2023-10-19
Business Address
LISA M CLEMENS P.A.
2200 RANDALLIA DR
FORT WAYNE, IN 46805-4638
Phone number: 260-373-4000
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Mailing Address
LISA M CLEMENS P.A.
3640 NEW VISION DRIVE SUITE A
FORT WAYNE, IN 46845-1717
Phone number: 260-482-4440
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