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1245758622
ALYSSA R. SLABAUGH
FORT WAYNE, IN
NPI
1245758622
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Former Name
ALYSSA R. SHELTON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner Gerontology
(Licence: IN 71007416A)
Enumeration Date
2017-09-06
Last Update Date
2018-06-16
Business Address
ALYSSA R. SLABAUGH GNP-C
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4140
Phone number: 260-432-2297
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Mailing Address
ALYSSA R. SLABAUGH GNP-C
6920 POINTE INVERNESS WAY STE 200
FORT WAYNE, IN 46804-7934
Phone number: 260-479-3514
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