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1265410120
EDNA M MANALO
FORT WAYNE, IN
NPI
1265410120
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IN 10000418A)
Enumeration Date
2006-01-02
Last Update Date
2020-10-13
Business Address
EDNA M MANALO PA
2516 E DUPONT RD
FORT WAYNE, IN 46825-1608
Phone number: 260-471-7197
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Mailing Address
EDNA M MANALO PA
6920 POINTE INVERNESS WAY STE 200
FORT WAYNE, IN 46804-7934
Phone number: 260-479-3516
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