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1447219951
JILL C. BERG
FORT WAYNE, IN
NPI
1447219951
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71001258A)
Enumeration Date
2006-03-22
Last Update Date
2016-12-18
Business Address
-- JILL C. BERG NP-C
7916 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4140
Phone number: 260-432-2297
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Mailing Address
-- JILL C. BERG NP-C
6920 POINTE INVERNESS WAY STE 200 MEDPARTNERS, ATTN: BARB COPELAND
FORT WAYNE, IN 46804-7934
Phone number: 260-479-3514
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