TYSON AGNEW

FORT WAYNE, IN
NPI1801614524
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2024-10-01
Last Update Date2024-10-01
Business Address
TYSON AGNEW PA
5050 N CLINTON ST
FORT WAYNE, IN 46825-5886
Phone number: 260-484-8551
Mailing Address
TYSON AGNEW PA
5052 N CLINTON ST
FORT WAYNE, IN 46825-5822
Phone number: 260-484-8551
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