CARISSA L ASHTARY YAZDI

FORT WAYNE, IN
NPI1609224732
Former NameCARISSA L LIBBENGA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  10002381A)
Enumeration Date2016-05-31
Last Update Date2018-11-08
Business Address
Mrs. CARISSA L ASHTARY YAZDI PA-C
5050 N CLINTON ST
FORT WAYNE, IN 46825
Phone number: 260-484-8551
Mailing Address
Mrs. CARISSA L ASHTARY YAZDI PA-C
5052 N CLINTON ST
FORT WAYNE, IN 46825-5822
Phone number: 260-484-8551
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