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1275272122
BRENDA PRISCILLA RICHARDSON
FORT WAYNE, IN
NPI
1275272122
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: IN 28166296A)
Enumeration Date
2022-05-31
Last Update Date
2022-05-31
Business Address
Mrs. BRENDA PRISCILLA RICHARDSON RN
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
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Mailing Address
Mrs. BRENDA PRISCILLA RICHARDSON RN
6919 ENDICOTT DR
FORT WAYNE, IN 46845-8734
Phone number: 419-796-0946
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