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1629152103
SARA C HERSTAD
FORT WAYNE, IN
NPI
1629152103
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Former Name
SARA C BRUNS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 02003108A)
Enumeration Date
2006-10-24
Last Update Date
2022-10-17
Business Address
SARA C HERSTAD DO
3909 NEW VISION DR
FORT WAYNE, IN 46845-1725
Phone number: 260-469-6610
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Mailing Address
SARA C HERSTAD DO
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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