GEOFFREY GEORGE GEPHART

FORT WAYNE, IN
NPI1477800829
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  28185645A)
Enumeration Date2012-08-03
Last Update Date2012-08-03
Business Address
Mr. GEOFFREY GEORGE GEPHART FNP-BC
10012 AUBURN PARK DR
FORT WAYNE, IN 46825-2389
Phone number: 317-644-8457
Mailing Address
Mr. GEOFFREY GEORGE GEPHART FNP-BC
1731 SYCAMORE HILLS DR
FORT WAYNE, IN 46814-9390
Phone number: 260-625-3693
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