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1235692500
FELISHA GAETZ
FORT WAYNE, IN
NPI
1235692500
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IN 71009102A)
Enumeration Date
2019-04-12
Last Update Date
2022-11-15
Business Address
FELISHA GAETZ
11141 PARKVIEW PLAZA DR STE 320
FORT WAYNE, IN 46845-1714
Phone number: 260-425-5400
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Mailing Address
FELISHA GAETZ
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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