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1821606500
MAKAYLA BLAIN
FORT WAYNE, IN
NPI
1821606500
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Former Name
MAKAYLA LAWSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71010155A)
Enumeration Date
2020-07-17
Last Update Date
2022-03-13
Business Address
MAKAYLA BLAIN NP
1721 MAGNAVOX WAY STE B
FORT WAYNE, IN 46804-1537
Phone number: 260-748-3650
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Mailing Address
MAKAYLA BLAIN NP
1721 MAGNAVOX WAY STE B
FORT WAYNE, IN 46804-1537
Phone number: 260-748-3650
Copy
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