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1255878815
DANA L STADDON
FORT WAYNE, IN
NPI
1255878815
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA AP09146)
Enumeration Date
2017-01-20
Last Update Date
2024-02-11
Business Address
DANA L STADDON FNP-C
7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4133
Phone number: 260-436-8686
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Mailing Address
DANA L STADDON FNP-C
PO BOX 2526
FORT WAYNE, IN 46801-2526
Phone number: 260-436-8686
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