JOHN T OO

FORT WAYNE, IN
NPI1396265864
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71007147A)
Enumeration Date2017-06-26
Last Update Date2017-06-26
Business Address
JOHN T OO NP
1330 N COLISEUM BLVD
FORT WAYNE, IN 46805-5526
Phone number: 260-447-8982
Mailing Address
JOHN T OO NP
3212 ROCKWOOD DR
FORT WAYNE, IN 46815-6137
Phone number:
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