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1528553815
KIRBY JOHNSON
FORT WAYNE, IN
NPI
1528553815
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IN 71008076A)
Enumeration Date
2018-06-28
Last Update Date
2021-09-27
Business Address
KIRBY JOHNSON FNP-BC
2700 LAFAYETTE ST
FORT WAYNE, IN 46806-1100
Phone number: 260-266-0780
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Mailing Address
KIRBY JOHNSON FNP-BC
2700 LAFAYETTE ST
FORT WAYNE, IN 46806-1100
Phone number: 260-266-0780
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