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1891707485
LISA ANN NEWNAM
FORT WAYNE, IN
NPI
1891707485
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: IN 26015751)
Enumeration Date
2006-08-12
Last Update Date
2007-07-16
Business Address
Mrs. LISA ANN NEWNAM RPH
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-460-1418
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Mailing Address
Mrs. LISA ANN NEWNAM RPH
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-460-1418
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