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1790169233
BLAIR FIFER
FORT WAYNE, IN
NPI
1790169233
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IN 71005863A)
Enumeration Date
2015-07-15
Last Update Date
2022-10-07
Business Address
BLAIR FIFER
11104 PARKVIEW CIRCLE DR STE 20
FORT WAYNE, IN 46845-1733
Phone number: 260-425-6940
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Mailing Address
BLAIR FIFER
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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