ANTHONY B CENTLIVRE

FORT WAYNE, IN
NPI1255051231
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IN  71012957A)
Enumeration Date2022-08-31
Last Update Date2022-08-31
Business Address
ANTHONY B CENTLIVRE
201 E RUDISILL BLVD
FORT WAYNE, IN 46806-1738
Phone number: 888-470-0082
Mailing Address
ANTHONY B CENTLIVRE
2621 E JEFFERSON ST
WARSAW, IN 46580-3880
Phone number: 574-267-7169
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