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1396518262
ADREANNA POTTS-LARA
FORT WAYNE, IN
NPI
1396518262
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IN 10004194A)
Enumeration Date
2023-11-02
Last Update Date
2024-07-18
Business Address
ADREANNA POTTS-LARA
5050 N CLINTON ST
FORT WAYNE, IN 46825-5886
Phone number: 260-484-8551
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Mailing Address
ADREANNA POTTS-LARA
5052 N CLINTON ST
FORT WAYNE, IN 46825-5822
Phone number:
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