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1427655604
MARK ROBERT ADANG
FORT WAYNE, IN
NPI
1427655604
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-10-01
Last Update Date
2020-10-01
Business Address
Mr. MARK ROBERT ADANG BA
1825 BEACON ST
FORT WAYNE, IN 46805-4750
Phone number: 260-442-4409
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Mailing Address
Mr. MARK ROBERT ADANG BA
1825 BEACON ST
FORT WAYNE, IN 46805-4750
Phone number: 260-442-4409
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