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1568648111
LETISIA J WEAVER
FORT WAYNE, IN
NPI
1568648111
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IN 27058996A)
Enumeration Date
2008-01-14
Last Update Date
2008-01-14
Business Address
LETISIA J WEAVER LPN
909 E STATE BLVD
FORT WAYNE, IN 46805-3404
Phone number: 260-481-2700
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Mailing Address
LETISIA J WEAVER LPN
909 E STATE BLVD
FORT WAYNE, IN 46805-3404
Phone number: 260-481-2700
Copy
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