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1407855802
GEOFFREY C CLY
FORT WAYNE, IN
NPI
1407855802
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: IN 01057955A)
Enumeration Date
2005-07-18
Last Update Date
2017-04-12
Business Address
-- GEOFFREY C CLY M.D.
11123 PARKVIEW PLAZA DR SUITE 101
FORT WAYNE, IN 46845-1707
Phone number: 260-422-7455
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Mailing Address
-- GEOFFREY C CLY M.D.
3926 NEW VISION DR
FORT WAYNE, IN 46845-1712
Phone number: 260-266-8210
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