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1710396940
BERNITA FLYE
FORT WAYNE, IN
NPI
1710396940
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: IN 28079791A)
Enumeration Date
2014-08-13
Last Update Date
2014-08-13
Business Address
-- BERNITA FLYE
3919 W JEFFERSON BLVD
FORT WAYNE, IN 46804-6811
Phone number: 260-436-7722
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Mailing Address
-- BERNITA FLYE
6330 PINE MEADOWS LN
FORT WAYNE, IN 46835-3800
Phone number: 260-486-3663
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