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1477114312
MANDY ONGUTA
FORT WAYNE, IN
NPI
1477114312
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN11002818)
Enumeration Date
2019-06-21
Last Update Date
2019-08-23
Business Address
MANDY ONGUTA FNP-C
700 BROADWAY
FORT WAYNE, IN 46802-1402
Phone number: 260-344-4035
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Mailing Address
MANDY ONGUTA FNP-C
6435 W JEFFERSON BLVD
FORT WAYNE, IN 46804-6203
Phone number: 260-344-4035
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