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1487385704
TIA MARIE CARNAHAN
FORT WAYNE, IN
NPI
1487385704
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OH 422912)
Enumeration Date
2022-06-17
Last Update Date
2022-06-17
Business Address
TIA MARIE CARNAHAN RN
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 419-783-2200
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Mailing Address
TIA MARIE CARNAHAN RN
18095 DEFIANCE PAULDING COUNTY LINE ROAD
DEFIANCE, OH 43512
Phone number: 419-438-6250
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