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1265102305
ANICIA NICOLE HOWARD
FORT WAYNE, IN
NPI
1265102305
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 28220617A)
Enumeration Date
2021-09-20
Last Update Date
2021-09-20
Business Address
ANICIA NICOLE HOWARD NP
700 BROADWAY
FORT WAYNE, IN 46802-1402
Phone number: 260-344-4035
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Mailing Address
ANICIA NICOLE HOWARD NP
6435 W JEFFERSON BLVD PMB 109
FORT WAYNE, IN 46804-6203
Phone number: 260-344-4035
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