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1376945782
MATTHEW BOHREN
FORT WAYNE, IN
NPI
1376945782
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IN 10001750A)
Enumeration Date
2014-09-17
Last Update Date
2016-11-07
Business Address
-- MATTHEW BOHREN
7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4133
Phone number: 260-436-8686
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Mailing Address
-- MATTHEW BOHREN
PO BOX 2526
FORT WAYNE, IN 46801-2526
Phone number: 260-436-8686
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