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1336929892
THERESA HUFFORD
FORT WAYNE, IN
NPI
1336929892
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71014301A)
Enumeration Date
2023-10-03
Last Update Date
2024-02-20
Business Address
THERESA HUFFORD FNP-C
7980 WEST JEFFERSON BLVD
FORT WAYNE, IN 46804
Phone number: 260-458-3575
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Mailing Address
THERESA HUFFORD FNP-C
7980 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4170
Phone number: 260-458-3505
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