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1396303905
LISA ANN SMITH
FORT WAYNE, IN
NPI
1396303905
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IN AG05180066)
Enumeration Date
2019-05-30
Last Update Date
2019-05-30
Business Address
Mrs. LISA ANN SMITH MSN, RN, AGCNS, NP-C
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845-1701
Phone number: 260-415-6175
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Mailing Address
Mrs. LISA ANN SMITH MSN, RN, AGCNS, NP-C
1580 VINTNERS WAY
FORT WAYNE, IN 46845-8798
Phone number: 260-415-6175
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