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1689194813
STEPHANIE S KIDD
FORT WAYNE, IN
NPI
1689194813
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 02005696A)
Enumeration Date
2017-06-20
Last Update Date
2021-01-21
Business Address
STEPHANIE S KIDD DO
7230 ENGLE RD STE 100
FORT WAYNE, IN 46804-2234
Phone number: 260-234-5400
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Mailing Address
STEPHANIE S KIDD DO
1200 W WHITE RIVER BLVD
MUNCIE, IN 47303-4988
Phone number: 877-668-5621
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