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1720829369
ADAM NEWPORT
FORT WAYNE, IN
NPI
1720829369
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 11023746)
Enumeration Date
2024-06-06
Last Update Date
2024-06-06
Business Address
ADAM NEWPORT DO
750 BROADWAY STE 350
FORT WAYNE, IN 46802-1412
Phone number: 260-423-2675
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Mailing Address
ADAM NEWPORT DO
750 BROADWAY STE 250
FORT WAYNE, IN 46802-1412
Phone number: 260-423-2675
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