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1396938981
CHRISTINE JENIFER MORA
FORT WAYNE, IN
NPI
1396938981
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IN IN71000551)
Enumeration Date
2007-08-27
Last Update Date
2024-02-13
Business Address
Ms. CHRISTINE JENIFER MORA NP
6404 WOODTHRUSH DR
FORT WAYNE, IN 46835-1325
Phone number: 260-414-6572
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Mailing Address
Ms. CHRISTINE JENIFER MORA NP
6404 WOODTHRUSH DR
FORT WAYNE, IN 46835-1325
Phone number: 260-414-6572
Copy
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