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1659008670
SAMANTHA LYNNE FREDRICKSON
FORT WAYNE, IN
NPI
1659008670
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71012743A)
Enumeration Date
2022-08-01
Last Update Date
2022-08-01
Business Address
SAMANTHA LYNNE FREDRICKSON FNP
2100 GOSHEN RD
FORT WAYNE, IN 46808-1493
Phone number: 260-471-3500
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Mailing Address
SAMANTHA LYNNE FREDRICKSON FNP
1211 ALMDALE DR
FORT WAYNE, IN 46818-8429
Phone number: 260-358-7721
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