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1245593854
MELANIE CLARK
FORT WAYNE, IN
NPI
1245593854
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207RH0003X Internal Medicine, Hematology & Oncology
(Licence: IN 01080196A)
Enumeration Date
2012-06-19
Last Update Date
2022-10-11
Business Address
MELANIE CLARK
11050 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845-1739
Phone number: 260-266-7894
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Mailing Address
MELANIE CLARK
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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