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1912632605
TIERNARY BROOKS
FORT WAYNE, IN
NPI
1912632605
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IN 71012806A)
Enumeration Date
2022-07-18
Last Update Date
2023-01-26
Business Address
TIERNARY BROOKS NP
2626 FAIRFIELD AVE
FORT WAYNE, IN 46807-1215
Phone number: 260-235-5900
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Mailing Address
TIERNARY BROOKS NP
7606 MELODY CIR W
FORT WAYNE, IN 46816-4875
Phone number: 260-804-7617
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