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1487904140
SHAUN MARIE HART
FORT WAYNE, IN
NPI
1487904140
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner Acute Care
(Licence: IN 28138579A)
Enumeration Date
2012-09-10
Last Update Date
2022-10-20
Business Address
SHAUN MARIE HART ACNP-BC
11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845-1730
Phone number: 260-266-2262
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Mailing Address
SHAUN MARIE HART ACNP-BC
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number: 260-266-6013
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