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1881310183
ALEXIS HEATWOLE
FORT WAYNE, IN
NPI
1881310183
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-10-18
Last Update Date
2022-10-18
Business Address
ALEXIS HEATWOLE PA
7333 W JEFFERSON BLVD
FORT WAYNE, IN 46804-6280
Phone number: 260-458-3830
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Mailing Address
ALEXIS HEATWOLE PA
7333 W JEFFERSON BLVD
FORT WAYNE, IN 46804-6280
Phone number: 260-458-3830
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