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1780798694
REBECCA SUE GUMP
FORT WAYNE, IN
NPI
1780798694
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: IN 71000263A)
Enumeration Date
2006-08-18
Last Update Date
2007-07-08
Business Address
-- REBECCA SUE GUMP NP
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
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Mailing Address
-- REBECCA SUE GUMP NP
9030 MCCOMB RD
CHURUBUSCO, IN 46723-9441
Phone number: 260-693-9558
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