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1750770830
ASHLEY LICHTLE
FORT WAYNE, IN
NPI
1750770830
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 28191558A)
Enumeration Date
2015-01-13
Last Update Date
2016-04-26
Business Address
-- ASHLEY LICHTLE NP-C
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4140
Phone number: 260-203-9600
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Mailing Address
-- ASHLEY LICHTLE NP-C
PO BOX 11766
FORT WAYNE, IN 46860-1766
Phone number: 260-203-9600
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