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1679664379
REBECCA MARIE BLUME
FORT WAYNE, IN
NPI
1679664379
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IN 10000655A)
Enumeration Date
2006-09-27
Last Update Date
2007-07-08
Business Address
Mrs. REBECCA MARIE BLUME PA-C
3030 LAKE AVE SUITE 25A
FORT WAYNE, IN 46805-5428
Phone number: 260-422-4096
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Mailing Address
Mrs. REBECCA MARIE BLUME PA-C
18028 FOGEL RD
CHURUBUSCO, IN 46723-9213
Phone number: 260-637-7537
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