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1255332664
LORA OVERTON
FORT WAYNE, IN
NPI
1255332664
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: IN 02001611A)
Enumeration Date
2005-08-09
Last Update Date
2012-09-18
Business Address
-- LORA OVERTON DO
3217 LAKE AVE
FORT WAYNE, IN 46805-5427
Phone number: 260-490-1524
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Mailing Address
-- LORA OVERTON DO
2001 N GRANVILLE AVE
MUNCIE, IN 47303-2110
Phone number: 765-213-3238
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