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1770060360
SHELLY HAYES
FORT WAYNE, IN
NPI
1770060360
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IN 71008161A)
Enumeration Date
2018-07-26
Last Update Date
2018-07-26
Business Address
SHELLY HAYES
3512 STELLHORN RD
FORT WAYNE, IN 46815-4631
Phone number: 260-483-9081
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Mailing Address
SHELLY HAYES
3512 STELLHORN RD
FORT WAYNE, IN 46815-4631
Phone number: 260-483-9081
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