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1740204270
ANITA LOUISE DOCTOR
FORT WAYNE, IN
NPI
1740204270
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71002180A)
Enumeration Date
2006-07-27
Last Update Date
2018-03-17
Business Address
ANITA LOUISE DOCTOR NP
14303 W CEDAR LAKE DR
FORT WAYNE, IN 46845-9642
Phone number: 260-438-8863
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Mailing Address
ANITA LOUISE DOCTOR NP
14303 W CEDAR LAKE DR
FORT WAYNE, IN 46845-9642
Phone number: 260-438-8863
Copy
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