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1578860003
ABIGAIL MARIE BORT
FORT WAYNE, IN
NPI
1578860003
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IN 10001263A)
Enumeration Date
2011-02-18
Last Update Date
2013-05-30
Business Address
Mrs. ABIGAIL MARIE BORT PA-C
2200 RANDALLIA DR
FORT WAYNE, IN 46805-4638
Phone number: 260-373-4000
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Mailing Address
Mrs. ABIGAIL MARIE BORT PA-C
3640 NEW VISION DRIVE SUITE A
FORT WAYNE, IN 46845-1717
Phone number: 260-482-4440
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