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1619516465
LESLIE ANN WALDO
FORT WAYNE, IN
NPI
1619516465
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IN 71009644A)
Enumeration Date
2019-12-26
Last Update Date
2023-08-30
Business Address
LESLIE ANN WALDO NP
3909 NEW VISION DR
FORT WAYNE, IN 46845-1725
Phone number: 260-469-6610
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Mailing Address
LESLIE ANN WALDO NP
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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