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1760118442
CONNOR CHARLES HAXTON
FORT WAYNE, IN
NPI
1760118442
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-07-26
Last Update Date
2022-07-26
Business Address
CONNOR CHARLES HAXTON PA
1717 S CALHOUN ST
FORT WAYNE, IN 46802-5257
Phone number: 260-458-2641
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Mailing Address
CONNOR CHARLES HAXTON PA
5407 VANCE AVE
FORT WAYNE, IN 46815-6154
Phone number: 260-494-5403
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