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1316776180
DIAGENTRY L LEWIS
FORT WAYNE, IN
NPI
1316776180
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
(Licence: IN 017610)
Enumeration Date
2024-07-30
Last Update Date
2024-07-30
Business Address
DIAGENTRY L LEWIS
5800 FAIRFIELD AVE STE 130
FORT WAYNE, IN 46807-3440
Phone number: 260-203-8800
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Mailing Address
DIAGENTRY L LEWIS
5800 FAIRFIELD AVE STE 130
FORT WAYNE, IN 46807-3440
Phone number: 260-203-8800
Copy
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