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1336278753
NIKKI J MANN
FORT WAYNE, IN
NPI
1336278753
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: IN 28157094a)
Enumeration Date
2007-03-02
Last Update Date
2018-02-02
Business Address
NIKKI J MANN GNP-C
3010 INDEPENDENCE DR
FORT WAYNE, IN 46808-1328
Phone number: 260-739-5821
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Mailing Address
NIKKI J MANN GNP-C
3010 INDEPENDENCE DR
FORT WAYNE, IN 46808-1328
Phone number: 260-478-6240
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