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1386308922
DAVID SANDIFER
FORT WAYNE, IN
NPI
1386308922
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IN 28223639A)
Enumeration Date
2021-10-29
Last Update Date
2021-10-29
Business Address
DAVID SANDIFER
700 BROADWAY
FORT WAYNE, IN 46802-1493
Phone number: 260-425-3000
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Mailing Address
DAVID SANDIFER
3144 BREYERTON CV
FORT WAYNE, IN 46814-0002
Phone number: 219-508-6424
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