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1922769744
ALI CASSANDRA ROSS
FORT WAYNE, IN
NPI
1922769744
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71012038A)
Enumeration Date
2022-01-04
Last Update Date
2022-01-04
Business Address
ALI CASSANDRA ROSS NP-C
6326 CONSTITUTION DR
FORT WAYNE, IN 46804-1518
Phone number: 650-924-1174
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Mailing Address
ALI CASSANDRA ROSS NP-C
5850 KILLDEER LN APT 203
FORT WAYNE, IN 46804-0041
Phone number: 574-528-0547
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