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1730175506
MEDIA JABOORI
FORT WAYNE, IN
NPI
1730175506
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: IN 10000601)
Enumeration Date
2005-09-27
Last Update Date
2013-08-14
Business Address
Ms. MEDIA JABOORI PA-C
2200 RANDALLIA DR
FORT WAYNE, IN 46805-4638
Phone number: 260-373-4000
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Mailing Address
Ms. MEDIA JABOORI PA-C
3640 NEW VISION DRIVE SUITE A
FORT WAYNE, IN 46845-1717
Phone number: 260-482-4440
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