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1790786127
KHIN MAR OO
FORT WAYNE, IN
NPI
1790786127
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207QA0505X Family Medicine Adult Medicine
(Licence: IN 01044410A)
Enumeration Date
2005-08-09
Last Update Date
2013-05-09
Business Address
KHIN MAR OO MD
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
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Mailing Address
KHIN MAR OO MD
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
Copy
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