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1891716312
SUSAN KAY HALLEY
FORT WAYNE, IN
NPI
1891716312
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71000658)
Enumeration Date
2006-07-21
Last Update Date
2007-07-08
Business Address
-- SUSAN KAY HALLEY MS, FNP-C
2001 HOBSON RD HERITAGE PARK
FORT WAYNE, IN 46805-4872
Phone number: 260-484-9557
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Mailing Address
-- SUSAN KAY HALLEY MS, FNP-C
2011 OTSEGO DR
FORT WAYNE, IN 46825-3844
Phone number: 260-483-2287
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