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1447458096
BETHANY ANN WAIT
SOUTH BEND, IN
NPI
1447458096
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 02003383A)
Enumeration Date
2007-07-05
Last Update Date
2023-06-22
Business Address
BETHANY ANN WAIT DO
1901 W WESTERN AVE STE B
SOUTH BEND, IN 46619-3521
Phone number: 574-234-9033
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Mailing Address
BETHANY ANN WAIT DO
8003 CASTLEWAY DR
INDIANAPOLIS, IN 46250-1946
Phone number: 317-576-1335
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