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1669045845
KORTNEY MICHELLE DODGE
FORT WAYNE, IN
NPI
1669045845
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Former Name
KORTNEY RANS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IN 71011300A)
Enumeration Date
2021-07-23
Last Update Date
2023-04-20
Business Address
KORTNEY MICHELLE DODGE FNP-C
11104 PARKVIEW CIRCLE DR STE 20
FORT WAYNE, IN 46845-1733
Phone number: 260-266-2500
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Mailing Address
KORTNEY MICHELLE DODGE FNP-C
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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