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1467019349
FORD W. LEE
FORT WAYNE, IN
NPI
1467019349
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71009051A)
Enumeration Date
2019-05-25
Last Update Date
2020-09-29
Business Address
FORD W. LEE NP
7900 W JEFFERSON BLVD STE 306
FORT WAYNE, IN 46804-4128
Phone number: 260-458-3610
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Mailing Address
FORD W. LEE NP
6920 POINTE INVERNESS WAY STE 200
FORT WAYNE, IN 46804-7934
Phone number: 260-479-3514
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