PAMELA S DEKONINCK

FORT WAYNE, IN
NPI1639622772
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LG0600X Nurse Practitioner Gerontology
(Licence: IN  28079817)
Enumeration Date2016-07-25
Last Update Date2016-07-25
Business Address
MRS. PAMELA S DEKONINCK MS, RN, AGPCNP-BC
2101 E COLISEUM BLVD WU 234
FORT WAYNE, IN 46805-1445
Phone number: 260-481-5748
Mailing Address
MRS. PAMELA S DEKONINCK MS, RN, AGPCNP-BC
2101 E COLISEUM BLVD WU 234
FORT WAYNE, IN 46805-1445
Phone number: 260-481-5748
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