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1568483360
STEPHANIE ANN TIPPIN
FORT WAYNE, IN
NPI
1568483360
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Former Name
STEPHANIE ANN RAY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: IN 28148314A)
Enumeration Date
2006-07-21
Last Update Date
2009-12-07
Business Address
STEPHANIE ANN TIPPIN RN, MSN, FNP-C
8028 CARNAGIE BLVD., SUITE 200
FORT WAYNE, IN 46804
Phone number: 260-422-7455
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Mailing Address
STEPHANIE ANN TIPPIN RN, MSN, FNP-C
1234 E. DUPONT RD. SUITE 3
FORT WAYNE, IN 46825-1545
Phone number: 260-373-9728
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