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1396447033
SANDRA OWEN
FORT WAYNE, IN
NPI
1396447033
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QV0200X Clinic/Center, VA
Enumeration Date
2023-03-20
Last Update Date
2023-03-20
Business Address
SANDRA OWEN NA
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
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Mailing Address
SANDRA OWEN NA
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
Copy
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