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1760542468
THREE RIVERS ANESTHESIA, LLC
FORT WAYNE, IN
NPI
1760542468
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Entity Type
Organization
Authorized Contact
MARY JENNIFER YAO ONG PHUONG
Owner
765-284-0493
Organization Subpart ?
No
Primary Taxonomy
207L00000X Anesthesiology
Enumeration Date
2006-12-11
Last Update Date
2020-08-22
Business Address
THREE RIVERS ANESTHESIA, LLC
7956 W. JEFFERSON BLVD.
FORT WAYNE, IN 46804
Phone number: 765-284-0493
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Mailing Address
THREE RIVERS ANESTHESIA, LLC
2001 N GRANVILLE AVE
MUNCIE, IN 47303-2110
Phone number: 765-284-0493
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