JACKIE DEAN VANNATTA

FORT WAYNE, IN
NPI1487135869
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2018-08-24
Last Update Date2018-08-24
Business Address
JACKIE DEAN VANNATTA
2525 LAKE AVE
FORT WAYNE, IN 46805-5407
Phone number: 260-484-4153
Mailing Address
JACKIE DEAN VANNATTA
2525 LAKE AVE
FORT WAYNE, IN 46805-5407
Phone number: 260-484-4153
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