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1245061100
JEMIMA CHATLA
FORT WAYNE, IN
NPI
1245061100
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IN 12014545A)
Enumeration Date
2024-08-12
Last Update Date
2024-08-12
Business Address
JEMIMA CHATLA
100 E PETTIT AVE STE 1A
FORT WAYNE, IN 46806-3003
Phone number: 260-255-8269
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Mailing Address
JEMIMA CHATLA
2150 GLASTONBURY ROW # 3
FORT WAYNE, IN 46819-0002
Phone number:
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