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1891060075
AMANDA J PATCH
FORT WAYNE, IN
NPI
1891060075
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 11015098A)
Enumeration Date
2012-03-20
Last Update Date
2022-10-10
Business Address
AMANDA J PATCH M.D.
5693 YMCA PARK DR W
FORT WAYNE, IN 46835-3280
Phone number: 260-469-6603
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Mailing Address
AMANDA J PATCH M.D.
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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