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1265961056
BRENDA VAZQUEZ
FORT WAYNE, IN
NPI
1265961056
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 11019237A)
Enumeration Date
2017-06-06
Last Update Date
2017-06-06
Business Address
BRENDA VAZQUEZ MD
750 BROADWAY STE 350
FORT WAYNE, IN 46802-1412
Phone number: 260-423-2675
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Mailing Address
BRENDA VAZQUEZ MD
750 BROADWAY STE 350
FORT WAYNE, IN 46802-1412
Phone number: 260-423-2675
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