SANDRA OWEN

FORT WAYNE, IN
NPI1396447033
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy261QV0200X Clinic/Center VA
Enumeration Date2023-03-20
Last Update Date2023-03-20
Business Address
SANDRA OWEN NA
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
Mailing Address
SANDRA OWEN NA
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
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