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1801064266
BRENDA S. WILEY
FORT WAYNE, IN
NPI
1801064266
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71002581A)
Enumeration Date
2008-02-19
Last Update Date
2020-09-30
Business Address
BRENDA S. WILEY NP
7900 W JEFFERSON BLVD SUITE 201
FORT WAYNE, IN 46804-4128
Phone number: 260-432-2297
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Mailing Address
BRENDA S. WILEY NP
6920 POINTE INVERNESS WAY STE 200
FORT WAYNE, IN 46804-7934
Phone number: 260-479-3514
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