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1609457100
JIE LI
FORT WAYNE, IN
NPI
1609457100
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IN 13006783A)
Enumeration Date
2021-04-16
Last Update Date
2021-04-16
Business Address
JIE LI DDS
1717 S CALHOUN ST
FORT WAYNE, IN 46802-5257
Phone number: 260-458-2641
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Mailing Address
JIE LI DDS
6903 VISTAMERE WAY
INDIANAPOLIS, IN 46250-4156
Phone number: 317-750-3981
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