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1710422746
DIRECTCLINIC LLC
FORT WAYNE, IN
NPI
1710422746
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Entity Type
Organization
Authorized Contact
SUDHAKAR KRISHNAN
President & CEO
260-212-1900
Organization Subpart ?
Yes
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
Enumeration Date
2016-12-29
Last Update Date
2016-12-29
Business Address
DIRECTCLINIC LLC
7802 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4138
Phone number: 260-466-5671
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Mailing Address
DIRECTCLINIC LLC
6435 W JEFFERSON BLVD SUITE 176
FORT WAYNE, IN 46804-6203
Phone number: 260-212-1900
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